| Tory Smith, Llc | |
|
857 1/2 E 5th Ave Durango CO 81301-5318 | |
| (970) 501-5650 | |
| Not Available |
| Full Name | Tory Smith, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 857 1/2 E 5th Ave, Durango, Colorado |
| Authorized Official Name and Position | Victoria Smith (THERAPIST) |
| Authorized Official Contact | 9705015650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tory Smith, Llc 857 1/2 E 5th Ave Durango CO 81301-5318 Ph: (970) 501-5650 | Tory Smith, Llc 857 1/2 E 5th Ave Durango CO 81301-5318 Ph: (970) 501-5650 |
| NPI Number | 1053126250 |
|---|---|
| Provider Enumeration Date | 02/12/2025 |
| Last Update Date | 02/12/2025 |
| Certification Date | 02/12/2025 |
| Medicare PECOS PAC ID | 6002335718 |
|---|---|
| Medicare Enrollment ID | O20250527001821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053126250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Victoria Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528875085 PECOS PAC ID: 7618496324 Enrollment ID: I20250527003117 |
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