MARVIN SMITH NPI 1467196022

NPI Information

NPI: 1467196022
Provider Name: MARVIN SMITH
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
761 E UNIVERSITY DR
MESA, AZ
ZIP 85203
Phone: (678) 953-6713
Get Directions

Marvin Smith is an addiction (substance use disorder) counselor in Mesa, AZ. Marvin Smith NPI is 1467196022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

761 E UNIVERSITY DR
MESA, AZ
ZIP 85203-961
Phone: (678) 953-6713

The enumeration date for this NPI number is 4/20/2022 and was last updated on 4/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YM0800X	Counselor	Mental Health	No
3	103T00000X	Psychologist		No
4	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
5	103TB0200X	Psychologist	Cognitive & Behavioral	No
6	103TP0016X	Psychologist	Prescribing (Medical)	No
7	103TP2701X	Psychologist	Group Psychotherapy	No
8	104100000X	Social Worker		No
9	106S00000X	Behavior Technician		No
10	171M00000X	Case Manager/Care Coordinator		No
11	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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