Emmalee Smith

Individual provider Active NPI Mental Health Counselor · Jena, LA

NPI 1477074243 · NPPES record last updated Aug 24, 2017

Key facts

NPI
1477074243
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1125 Cowart St
Jena, LA 71342-7060
Phone
(318) 992-2263
Fax
(318) 992-2267
NPI assigned
Jul 3, 2017
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)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
101YM0800X LA Yes

Addresses

Primary practice location

1125 Cowart St
Jena, LA 71342-7060

Mailing address

842 West Bradford Street Suite D
Jena, LA 71342
Phone (318) 992-2263

Other identifiers

IdentifierTypeStateIssuer
1912281031OtherLACOUNSELOR-MENTAL HEALTH
1912281031MedicaidLA

Other providers in Jena, LA

All providers in Jena, LA · Mental Health Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.