John Warren Smith
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · St James, LA
NPI 1811726953 · NPPES record last updated Jul 29, 2024
Key facts
- NPI
- 1811726953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 5754 (LA)
- Practice address
- 10565 Lifehouse St
St James, LA 70086 - Phone
- (225) 349-8696
- NPI assigned
- Jul 29, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5754 | LA | Yes |
Addresses
Primary practice location
10565 Lifehouse St
St James, LA 70086
Mailing address
10508 N Glenstone PL
Baton Rouge, LA 70810-2838
Phone (225) 349-8696
Other providers in St James, LA
All providers in St James, LA · Addiction (Substance Use Disorder) Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2024. 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.