PHEDRA SMITH (NPI# 1306466420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306466420 |
| Entity Type | Individual |
| Full Name | PHEDRA SMITH |
| Practice Address |
9511 Holsberry Rd Ste B7 Pensacola FL 32534-1320 |
| Mailing Address |
5266 Westwind Cir Pensacola FL 32526-1967 |
| Practice Telephone | 8503295349 |
| Mailing Telephone | 8503295349 |
| Enumeration Date | 2020-04-18 |
| Last Update Date | 2020-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
9511 HOLSBERRY RD STE B7 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32534-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043860349 | Amber Flores | Marriage & Family Therapist | 9511 Holsberry Rd Ste B7, Pensacola, FL 32534-1320 | 2019-09-18 |
| 1760004683 | Greenhouse Counseling, LLC | Counselor | 9511 Holsberry Rd Ste B7, Pensacola, FL 32534-1320 | 2020-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981504 | Nf Nine Mile, LLC | Skilled Nursing Facility | 9310 Fowler Avenue, Pensacola, FL 32534 | 2019-06-18 |
| 1003207630 | Lenora Diann Wesley | Custodial Care Facility | 7840 Herrington Drive, Pensacola, FL 32534 | 2015-02-18 |
| 1336553759 | Charlotte Creahan | Pharmacist | 8814 C Palafox Hwy, Ensley Pharmacy, Penscola, FL 32534 | 2014-06-13 |
| 1801166368 | Neetin Patel | Pharmacist | 20 West Nine Mile Rd, Pensacola, FL 32534 | 2011-12-30 |
| 1891760377 | Adrian Laertes Goram | Pharmacist | 2237 W 9 Mile Rd, Walgreens Store 10181, Pensacola, FL 32534 | 2006-02-20 |
| 1558346213 | Angela B Bray | Physician Assistant | 8596 Orange Avenue, Pensacola, FL 32534 | 2005-12-14 |
| 1689669285 | Lori Lynn Everett | Dentist | 307 Boatner Road Suite 114, Eglin Afb, FL 32534 | 2005-09-20 |
| 1043565781 | Nada Samir Ilia | Dentist | 8390 N Palafox St, Promed Dental Clinic, Pensacola, FL 32534 | 2012-07-18 |
| 1770591968 | Steven L Jackson, Inc | Pharmacist | 2256 W Nine Mile Rd, Pensacola, FL 32534 | 2006-08-03 |
| 1255351847 | Ashley W Plummer | Specialist/Technologist | 1316 Jasper Street, Pensacola, FL 32534-0423 | 2006-07-19 |
| Find all providers in zip 32534 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796418 | Sherl Diane Craft | Counselor | 822 Lavon Dr, Pensacola, FL 32506-5689 | 2020-09-28 |
| 1730797234 | Danielle Kramer | Counselor | 10080 Rookery Rd, Pensacola, FL 32507-7205 | 2020-07-21 |
| 1154947612 | Michele Manassah | Counselor | 1600 Governors Dr Apt 1021, Pensacola, FL 32514-9439 | 2020-06-21 |
| 1386263465 | Dannielle Taylor | Counselor | 1602 Governors Dr Apt 2716, Pensacola, FL 32514-9441 | 2020-04-09 |
| 1083243026 | Margaret Eula Thompson Carr | Counselor | 7705 Le Jeune Dr, Pensacola, FL 32514-6530 | 2020-04-02 |
| 1720612062 | Kimberly Bowens | Counselor | 321 N De Villiers St Ste 209, Pensacola, FL 32501-3891 | 2020-02-25 |
| 1992343172 | The Center for Compassionate Care, LLC | Counselor | 6707 Plantation Rd Ste B3, Pensacola, FL 32504-6216 | 2019-12-18 |
| 1417507146 | Cynthia Marie Skoros | Counselor | 9511 Holsberry Rd Ste E, Pensacola, FL 32534-1347 | 2019-09-14 |
| 1831752039 | Inner Peace Pensacola LLC | Counselor | 600 University Office Blvd Ste 7, Pensacola, FL 32504-6251 | 2019-04-15 |
| 1508339235 | Kristie Williams | Counselor | 1610 Barrancas Ave, Pensacola, FL 32502-5212 | 2019-01-04 |
| Find all providers in PENSACOLA | ||||
Please comment or provide details below to improve the information on PHEDRA SMITH.
| 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.