| David Smith, | |
|
7509 Charlestown Pike, Charlestown, IN 47111-9623 | |
| (812) 256-4686 | |
| Not Available |
| Full Name | David Smith |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7509 Charlestown Pike, Charlestown, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659600609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Entity Name | Community Mental Health Center Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588732747 PECOS PAC ID: 1456330166 Enrollment ID: O20040722000158 |
| Entity Name | Lifespring Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851489942 PECOS PAC ID: 5294624508 Enrollment ID: O20040805000332 |
| Mailing Address | Practice Location Address |
|---|---|
| David Smith, 1882 Douglass Blvd, Louisville, KY 40205-1850 Ph: () - | David Smith, 7509 Charlestown Pike, Charlestown, IN 47111-9623 Ph: (812) 256-4686 |
Miss Jennifer Nicole Duvall, MSSW, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7509 Charlestown Pike, Charlestown, IN 47111 Phone: 812-256-4686 Fax: 812-256-4415 | |
Bobbi Willis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7509 Charlestown Pike, Charlestown, IN 47111 Phone: 812-256-4686 | |
Brittney Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7509 Charlestown Pike, Charlestown, IN 47111 Phone: 812-256-4686 | |
Krystia Dodge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7509 Charlestown Pike, Charlestown, IN 47111 Phone: 812-256-4686 | |
Cassandra Smith, MS, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7509 Charlestown Pike, Charlestown, IN 47111 Phone: 812-256-4686 | |
Lene Benoit, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7509 Charlestown Pike, Charlestown, IN 47111 Phone: 812-256-4128 | |
Monica Lynne Berry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7509 Charlestown Pike, Charlestown, IN 47111 Phone: 812-406-0377 |