| Smith Therpeutic | |
|
601 West 8th Street Coffeyville KS 67337-5040 | |
| (620) 505-4011 | |
| Not Available |
| Full Name | Smith Therpeutic |
|---|---|
| Speciality | Counselor |
| Location | 601 West 8th Street, Coffeyville, Kansas |
| Authorized Official Name and Position | Becky Smith (PRESIDENT/OWNER) |
| Authorized Official Contact | 6205054011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smith Therpeutic 601 West 8th Street Coffeyville KS 67337-5040 Ph: (620) 505-4011 | Smith Therpeutic 601 West 8th Street Coffeyville KS 67337-5040 Ph: (620) 505-4011 |
| NPI Number | 1376420612 |
|---|---|
| Provider Enumeration Date | 08/19/2025 |
| Last Update Date | 08/19/2025 |
| Certification Date | 08/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376420612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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