Molly Ann Smith

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

L-474 Issued in LA

Practice address

112 N 3Rd St
Leesville, LA 71446-4014

Phone

(337) 239-3334

NPI assigned

Aug 17, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wardell Interests, Inc

  • Speech-Language Pathologist
  • Shreveport, LA
  • NPI 1134266083
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1992317531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N 3RD ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464014",
            "telephone_number": "337-239-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N 3RD ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464014",
            "telephone_number": "337-239-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MOLLY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava Simmons, LPC
• Kimberly Aaron Simms, M.A., LPC, LMFT, MAC
• Jessica Slaughter
• Sharianne Kiona Smith-McLean
• La'Kasha Tasheka Smith
• Rebecca Scalisi Smith
• Tiffany Lynn Smith, LCSW-BACS
• Cheryl Ann Smyth, RN
• Danielle Kathleen Smyth, FNP-C
• Kevin Joseph Soileau, RPH

• Behavior Analyst in Leesville, LA
• Providers in Leesville, LA by specialty
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.