| Samuel M. Smith, Ma, Lmft, Lmhc | |
|
4920 Common Vista Ct Indianapolis IN 46220-5394 | |
| (317) 466-9809 | |
| (317) 466-9809 |
| Full Name | Samuel M. Smith, Ma, Lmft, Lmhc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4920 Common Vista Ct, Indianapolis, Indiana |
| Authorized Official Name and Position | Samuel Mark Smith (MARRIAGE & FAMILY THERAPIST) |
| Authorized Official Contact | 3174669809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel M. Smith, Ma, Lmft, Lmhc 4920 Common Vista Ct Indianapolis IN 46220-5394 Ph: (317) 466-9809 | Samuel M. Smith, Ma, Lmft, Lmhc 4920 Common Vista Ct Indianapolis IN 46220-5394 Ph: (317) 466-9809 |
| NPI Number | 1104018985 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 08/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104018985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 35001463A (Indiana) | Primary |
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