Smith, Chaundrissa Morenike

Smith, Chaundrissa Morenike is an individual health care provider with primary practice located at 2400 Mt. Zion Parkway Kaiser Permanente Southwood Medical Center, Jonesboro GA 30236. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Chaundrissa Morenike can be contacted via phone (770) 603-3632.

Contact Information

Primary practice address
2400 Mt. Zion Parkway Kaiser Permanente Southwood Medical Center Jonesboro GA 30236
Phone: (770) 603-3632
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2979 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY002979 Georgia

Profile Details

NPI number 1922026301
LBN Legal business name Smith, Chaundrissa Morenike
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 29th, 2022 - 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.

Request for update

Popular Providers