Smith, Derek

Smith, Derek is an individual health care provider with primary practice located at 700 E Park Blvd Ste 206 , Plano TX 75074-5472. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Smith, Derek can be contacted via phone (972) 212-9175.

Contact Information

Primary practice address
700 E Park Blvd Ste 206 Plano TX 75074-5472
Phone: (972) 212-9175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 84781 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 84781 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16033 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 84781 Texas

Profile Details

NPI number 1669106969
LBN Legal business name Smith, Derek
Credentials LPC, LCDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2022
Last updated May 16th, 2024 - about 2 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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