Smith, Amy Renee
Smith, Amy Renee is an sole proprietor health care provider with primary practice located at 10000 Emmett F Lowry Expy Ste 1220 , Texas City TX 77591-2129. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Smith, Amy Renee can be contacted via phone (409) 763-2373.Contact Information
Primary practice address
10000 Emmett F Lowry Expy Ste 1220
Texas City TX 77591-2129
Phone: (409) 763-2373
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1954 | North Carolina |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 83267 | Texas |
Profile Details
| NPI number | 1487966776 |
|---|---|
| LBN Legal business name | Smith, Amy Renee |
| Credentials | LPC, LCMHCS, CCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2010 |
| Last updated | Jan 16th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487966776 | NPPES |
| North Carolina | MEDICAID | 6104529 |
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