Eubanks Smith, Kiu Amani

Eubanks Smith, Kiu Amani is an sole proprietor health care provider with primary practice located at 9616 Reisterstown Rd Phenix Salon - Suite 109, Owings Mills MD 21117. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Eubanks Smith, Kiu Amani can be contacted via phone (443) 453-5045.

Contact Information

Primary practice address
9616 Reisterstown Rd Phenix Salon - Suite 109 Owings Mills MD 21117
Phone: (443) 453-5045
Fax: (443) 863-6262
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4323 North Carolina
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 05244 Maryland

Profile Details

NPI number 1043536709
LBN Legal business name Eubanks Smith, Kiu Amani
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2010
Last updated Sep 6th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043536709 NPPES
Maryland MEDICAID 058535100

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