| Doctor Name: | MRS. RACHELLE D SMITH |
| NPI Number: | 1558682930 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, LPC |
| License Number: | 2010009689 |
| Business Practice Address: | 9100 Overland Plz Overland, MO - 631146123 |
| Business Phone Number: | 3147449027 |
| Business Fax Number: | 3145719698 |
| Mailing Address: | 9100 Overland Plz, OVERLAND |
| State: | MO |
| Postal Code: | 631146123 |
| Phone Number: | 3147449027 |
| Fax Number: | 3145719698 |
| NPI Enumeration Date: | 06/19/2010 |
| NPI Last Update Date: | 06/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2010009689 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |