Smith, Christina Renee

Smith, Christina Renee is an individual health care provider with primary practice located at 114 E Washington St , Muncie IN 47305-1734. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Smith, Christina Renee can be contacted via phone (765) 273-3224.

Contact Information

Primary practice address
114 E Washington St Muncie IN 47305-1734
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39001514A Indiana

Profile Details

NPI number 1013980028
LBN Legal business name Smith, Christina Renee
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jul 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013980028 NPPES
Indiana Other 589745000 MAGELLAN
Indiana Other 000000257045 MAGELLAN
Indiana MEDICAID 100205420A MAGELLAN

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