DAMITRA SMITH (NPI# 1295198109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295198109 |
| Entity Type | Individual |
| Full Name | DAMITRA SMITH |
| Credential | LCDC |
| Practice Address |
21734 Provincial Blvd #240d Katy TX 77450-6533 |
| Mailing Address |
19855 Creston Cove Ct Cypress TX 77433-2525 |
| Practice Telephone | 8324271306 |
| Mailing Telephone | 8324496823 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2018-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13292 | TX | Behavioral Health & Social Service Providers |
| Street Address |
21734 PROVINCIAL BLVD #240D |
| City | KATY |
| State | TX |
| Zip Code | 77450-6533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639652555 | O'brien Counseling Services, Inc. | Counselor | 21368 Provincial Blvd., Katy, TX 77450 | 2018-09-07 |
| 1306327275 | Renova Wellness Clinic | Counselor | 468 Park Grove Ln, Katy, TX 77450 | 2018-08-28 |
| 1639661556 | Health Care Senior Pllc | Family Medicine | 21702 Balsam Brook Ln, Katy, TX 77450 | 2018-06-06 |
| 1679081012 | Mason Sleep & Diagnostics | Clinic/Center | 462 S Mason Rd, Suite 400, Katy, TX 77450 | 2018-01-19 |
| 1508379900 | Mason Diagnostic Imaging | Clinic/Center | 462 S Mason Road, Suite 400, Katy, TX 77450 | 2017-11-08 |
| 1376055384 | Stella Dental Vk Pllc | Dentist | 21040 Highland Knolls Drive, Suite 100, Katy, TX 77450 | 2017-10-31 |
| 1598286031 | Ammon Zukeran Dc Inc | Chiropractor | 416 Park Grove Ln, Katy, TX 77450 | 2017-07-06 |
| 1588191571 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 777 S Fry Rd Ste 208, Katy, TX 77450 | 2017-05-22 |
| 1629527395 | Christine Margaret Gholston | Counselor | 472 Park Grove, Katy, TX 77450 | 2016-09-23 |
| 1598213928 | Kristina Reyes | Counselor | 633 E. Fernhust Dr., Ste 501, Katy, TX 77450 | 2016-09-14 |
| Find all providers in zip 77450 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932731668 | Daleshia Lasha Hulett | Counselor | 4215 Monticello Ter Ln, Katy, TX 77449-1880 | 2020-02-11 |
| 1356901540 | Clara I Fontenot | Counselor | 903a Avenue D, Katy, TX 77493-2325 | 2019-06-19 |
| 1669974069 | Victoria Lynn Cravens | Counselor | 1832 Snake River Rd Ste E, Katy, TX 77449-7741 | 2018-03-02 |
| 1487168225 | Tira Burford | Counselor | 20619 Fawnbrook Ct, Katy, TX 77450-8548 | 2017-11-30 |
| 1083128904 | Roscoe Deondre Lawton | Counselor | 4903 Wilderness Glen Ct, Katy, TX 77449-4594 | 2017-11-30 |
| 1982140745 | Geoffrey Kevin Bruno Sr. | Counselor | 21203 Park Valley Dr, Katy, TX 77450-4820 | 2017-01-17 |
| 1306395108 | H.a.v.e.n. Counseling & Wellness Services | Counselor | 4739 Lonestone Cir, Katy, TX 77449 | 2016-09-22 |
| 1144679697 | Jodie Bergquist | Counselor | 26600 Westheimer Parkway, Katy, TX 77494 | 2016-06-06 |
| 1124361985 | Innovative Pharmaceuticals and Consulting (ipac) | Counselor | 21731 Oakbridge Park Ln, Katy, TX 77450-5124 | 2013-03-30 |
| 1407111453 | Fatimah I. Escobar | Counselor | 18219 Flint Hill Dr, Katy, TX 77449-8494 | 2012-07-05 |
| Find all providers in KATY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.