Tracie D Smith
Individual provider Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Paducah, KY
NPI 1033478458 · NPPES record last updated May 4, 2012
Key facts
- NPI
- 1033478458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Practice address
- 425 Broadway St
Paducah, KY 42001-0713 - Phone
- (270) 444-3620
- NPI assigned
- May 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
425 Broadway St
Paducah, KY 42001-0713
Mailing address
425 Broadway St
Paducah, KY 42001-0713
Other providers in Paducah, KY
- Mina Smith
- Pamela Smith
- Richard Dean Smith
- Sarah Smith
- Sarah J Smith
- Shelby Nicole Smothers
- Arinthia Sirena Snelling
- SNH Derby Tenant LLC
- Derek Wade Snodgrass
- Keisha L Snow
All providers in Paducah, KY · Mental Health Clinic/Center (Including Community Mental Health Center) in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.