| Doctor Name: | DR. MISTY D ROBERTSON-SMITH |
| NPI Number: | 1851662050 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, LPC, CEAP, NCC |
| License Number: | 2082 |
| Business Practice Address: | 1920 Valleydale Rd Suite 116 Birmingham, AL - 352441703 |
| Business Phone Number: | 2055226113 |
| Business Fax Number: | 2053833253 |
| Mailing Address: | 1920 Valleydale Rd, Suite 116 BIRMINGHAM |
| State: | AL |
| Postal Code: | 352441703 |
| Phone Number: | 2055226113 |
| Fax Number: | 2053833253 |
| NPI Enumeration Date: | 01/19/2012 |
| NPI Last Update Date: | 01/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 2082 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| 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 |