Smith, Angie J

Smith, Angie J is an individual health care provider with primary practice located at 3003 South Loop W 475, Houston TX 77054-1301. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Smith, Angie J can be contacted via phone (713) 383-0888.

Contact Information

Primary practice address
3003 South Loop W 475 Houston TX 77054-1301
Fax: (713) 383-0895
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 62314 Texas

Profile Details

NPI number 1952519399
LBN Legal business name Smith, Angie J
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jul 8th, 2007 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952519399 NPPES
Texas MEDICAID 184020901

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