Smith, Kristie Nicole
Smith, Kristie Nicole is an sole proprietor health care provider with primary practice located at 1310 N Hearne Ave , Shreveport LA 71107-6516. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Behavioral Health & Social Service Providers / Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is her primary health care specialty. Smith, Kristie Nicole can be contacted via phone (318) 676-5111.Contact Information
Primary practice address
1310 N Hearne Ave
Shreveport LA 71107-6516
Phone: (318) 676-5111
Fax: (318) 676-5137
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4793 | Louisiana |
Profile Details
NPI number | 1336411586 |
---|---|
LBN Legal business name | Smith, Kristie Nicole |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 3rd, 2012 |
Last updated | Sep 25th, 2012 - about 13 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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