Doctor Name: | CINDY SMITH |
NPI Number: | 1447417654 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAC |
License Number: | A0505034 |
Business Practice Address: | 75 Hwy 62/412 Ash Flat, AR - 72513 |
Business Phone Number: | 8709941005 |
Business Fax Number: | 8709940078 |
Mailing Address: | 4508 Stadium Blvd, JONESBORO |
State: | AR |
Postal Code: | 724049675 |
Phone Number: | 8709336886 |
Fax Number: | 8709339395 |
NPI Enumeration Date: | 05/16/2008 |
NPI Last Update Date: | 05/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | A0505034 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |