| Doctor Name: | MRS. DIANA MARIE SMITH |
| NPI Number: | 1750433629 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC MH CCDC III |
| License Number: | LPC MH 2025 |
| Business Practice Address: | 2315 Park Ave Sturgis, SD - 577851349 |
| Business Phone Number: | 6053477560 |
| Business Fax Number: | 6057187595 |
| Mailing Address: | 6613 Eastridge Rd, BLACK HAWK |
| State: | SD |
| Postal Code: | 577188335 |
| Phone Number: | 6053477560 |
| Fax Number: | 6057187595 |
| NPI Enumeration Date: | 01/18/2007 |
| NPI Last Update Date: | 05/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LPC MH 2025 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SD |
| 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 |