| Doctor Name: | TINA SMITH |
| NPI Number: | 1871983866 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 720408984 |
| Business Practice Address: | 7305 Highway 9 Campti, LA - 714114137 |
| Business Phone Number: | 3184762205 |
| Business Fax Number: | 3184762206 |
| Mailing Address: | 7305 Highway 9, CAMPTI |
| State: | LA |
| Postal Code: | 714114137 |
| Phone Number: | 3184762205 |
| Fax Number: | 3184762206 |
| NPI Enumeration Date: | 01/28/2015 |
| NPI Last Update Date: | 01/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | 720408984 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |