Laura Ann Rogers-Smith, BHRS

Individual provider Active NPI Mental Health Counselor · Mead, OK

NPI 1972884096 · NPPES record last updated Sep 2, 2011

Key facts

NPI
1972884096
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
5912 Highway 70 E
Mead, OK 73449
Phone
(580) 745-9083
Fax
(580) 745-9885
NPI assigned
Sep 2, 2011
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 101YM0800X Yes

Addresses

Primary practice location

5912 Highway 70 E
Mead, OK 73449

Mailing address

402 Park St SE Apt 14B
Ardmore, OK 73401-8368
Phone (580) 220-8850

Other identifiers

IdentifierTypeStateIssuer
200049040MedicaidOK

Other providers in Mead, OK

All providers in Mead, OK · Mental Health Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.