Smith, Selena Nicole

Smith, Selena Nicole is an individual health care provider with primary practice located at 5865 Ridgeway Center Pkwy Ste 300 , Memphis TN 38120-4014. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Smith, Selena Nicole can be contacted via phone (901) 672-7857.

Contact Information

Primary practice address
5865 Ridgeway Center Pkwy Ste 300 Memphis TN 38120-4014
Phone: (901) 672-7857
Fax: (615) 658-7857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1360 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X CMSW0006120 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X 155

Profile Details

NPI number 1962549733
LBN Legal business name Smith, Selena Nicole
Credentials LAPSW, LADACII, PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Feb 19th, 2021 - about 3 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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