DEIDRA JAVEDA SMITH (NPI# 1568848703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568848703 |
| Entity Type | Individual |
| Full Name | DEIDRA JAVEDA SMITH |
| Credential | LMFTA |
| Practice Address |
2402 S Miami Blvd Durham NC 27703-4927 |
| Practice Telephone | 9195728833 |
| Mailing Telephone | 9195728833 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 10060A | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689046716 | Deidra Smith | Psychologist | 144 Kings Hwy, Suite 302, Dover, DE 19901-7308 | 2015-10-28 |
| 1467050583 | Deidra Smith | Homemaker | 600 Trent Street, Princeton, WV 24740 | 2020-10-12 |
| 1063803682 | Deidra Gayle Smith | Registered Nurse | 9527 W Ridge Trail Rd, Soddy Daisy, TN 37379-4018 | 2015-02-18 |
| Street Address |
2402 S MIAMI BLVD |
| City | DURHAM |
| State | NC |
| Zip Code | 27703-4927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780985523 | Diverse Family Services | Community/Behavioral Health | 2402 S Miami Blvd, Ste 108, Durham, NC 27703-4927 | 2010-11-10 |
| 1598280885 | Kemba Josiah | Counselor | 2402 S Miami Blvd, Durham, NC 27703-4927 | 2017-08-08 |
| 1528452885 | Elizabeth Cox-franklin | Counselor | 2402 S Miami Blvd, Suite 108, Durham, NC 27703-4927 | 2015-03-25 |
| 1992130843 | Michelle Dubois | Counselor | 2402 S Miami Blvd, Suite 108, Durham, NC 27703-4927 | 2013-09-11 |
| 1477987857 | Enhancement Health Care, Inc. | Clinic/Center | 2402 S Miami Blvd, Durham, NC 27703-4927 | 2013-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235218 | Joseph Omalemigbo Abgateyiniro | Durable Medical Equipment & Medical Supplies | 1810 Shiva Court, Durham, NC 27703 | 2020-11-05 |
| 1326654278 | Step By Step In Home Care LLC | Home Health | Imperial Business Park, 4819 Emperor Blvd Suite 400, Durham, NC 27703 | 2020-09-16 |
| 1023598463 | Impact Therapy Services | Speech-Language Pathologist | 6 Winnabow Court, Durham, NC 27703 | 2018-08-15 |
| 1326536327 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 1100 N Miami Blvd Ste 500a, Durham, NC 27703 | 2018-04-25 |
| 1033621719 | Duke University | Preventive Medicine | 4825 Creekstone Drive, Suite 105, Durham, NC 27703 | 2017-11-02 |
| 1023535564 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3725 Wake Forest Hwy, Durham, NC 27703 | 2017-08-25 |
| 1487194171 | Shivani L. Chudasama | Social Worker | 5475 Lumley Rd Ste 103, Durham, NC 27703 | 2017-03-01 |
| 1356886030 | Rgh Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 4234 Surles Court, Suite 100, Durham, NC 27703 | 2017-01-04 |
| 1780032821 | Victory Speech Therapy Services, Pllc | Speech-Language Pathologist | 1533 Ellis Rd., Apt J208, Durham, NC 27703 | 2016-05-31 |
| 1124422373 | Helene Azimbi Fonebi | Pharmacist | 8 Gandhi Dr, Durham, NC 27703 | 2014-10-17 |
| Find all providers in zip 27703 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194287227 | Erin Healy | Marriage & Family Therapist | 816 Exum St, Durham, NC 27701-2822 | 2019-04-06 |
| 1033675210 | Iris Drakeford | Marriage & Family Therapist | 3628 Rawdon Dr, Durham, NC 27713-5422 | 2019-02-13 |
| 1649776501 | Astrid Eva Wolf-o'hern | Marriage & Family Therapist | 2 Thompson Ln, Durham, NH 03824-3021 | 2018-03-31 |
| 1659814937 | Toni Nicolsen | Marriage & Family Therapist | 1502 Highway 54 West, Suite 505, Durham, NC 27707 | 2016-11-18 |
| 1114377470 | Timothy Horvath | Marriage & Family Therapist | 4100 Five Oaks Dr, #26, Durham, NC 27707-5286 | 2016-06-17 |
| 1700234291 | Rose Doi | Marriage & Family Therapist | 2609 N Duke St Ste 504, Durham, NC 27704-3048 | 2016-05-25 |
| 1699134759 | Detrice Peaks | Marriage & Family Therapist | 3362 Tarleton W, Durham, NC 27713-5407 | 2016-02-17 |
| 1154794030 | Samantha Scuderi | Marriage & Family Therapist | 3622 Lyckan Pkwy Ste 3002, Durham, NC 27707-2572 | 2015-11-02 |
| 1497123053 | Sheffa Christa Ariens | Marriage & Family Therapist | 127 Radcliff Cir, Durham, NC 27713-2504 | 2015-09-11 |
| 1376970244 | Heather Ram, Lmft, LLC | Marriage & Family Therapist | 29 Evergreen Ter, Durham, CT 06422-1404 | 2013-10-08 |
| Find all providers in DURHAM | ||||
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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.