Doctor Name: | MISCHELL SMITH |
NPI Number: | 1598136780 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | LC6153 |
Business Practice Address: | 2115 N Charles St Suite 200 Baltimore, MD - 212185760 |
Business Phone Number: | 4108082786 |
Business Fax Number: | |
Mailing Address: | 3553 Seapines Cir, RANDALLSTOWN |
State: | MD |
Postal Code: | 211332447 |
Phone Number: | 4109225952 |
Fax Number: | |
NPI Enumeration Date: | 10/13/2015 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LC6153 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |