Smith, Maria L

Smith, Maria L is an sole proprietor health care provider with primary practice located at 103 Southlake Cir , Canton MS 39046-5369. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Smith, Maria L can be contacted via phone (601) 824-0342.

Contact Information

Primary practice address
103 Southlake Cir Canton MS 39046-5369
Phone: (601) 824-0342
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1056 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 902088 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 902088 Mississippi

Profile Details

NPI number 1972804474
LBN Legal business name Smith, Maria L
Credentials PMHNP-BC, C-FNP, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2010
Last updated Oct 14th, 2022 - about 2 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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