MS. ALEXINE C. SMITH


Address: 4464 Priscilla Ave, Indianapolis, IN 46226-3338
Phone: 3175791030

MS. ALEXINE C. SMITH (NPI# 1548392970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548392970
Entity Type Individual
Full Name MS. ALEXINE C. SMITH
Credential LMHC, LCAC, NCC,CSMS
Practice Address 4464 Priscilla Ave
Indianapolis
IN 46226-3338
Practice Telephone 3175791030
Practice Fax Number 3175475212
Mailing Telephone 3175791030
Mailing Fax Number 3175475212
Enumeration Date 2007-03-12
Last Update Date 2016-01-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
39001278A IN Behavioral Health & Social Service Providers

Office Location

Street Address 4464 PRISCILLA AVE
City INDIANAPOLIS
State IN
Zip Code 46226-3338

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City INDIANAPOLIS
Zip Code 46226

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Dataset Information

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.

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