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
Phone: (713) 383-0888
Fax: (713) 383-0895
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952519399 | NPPES |
| Texas | MEDICAID | 184020901 |
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