MS. CORETHA DENISE SMITH CERTIFIED ADDICTION NPI 1518210483

NPI Information

NPI: 1518210483
Provider Name: MS. CORETHA DENISE SMITH, CERTIFIED ADDICTION
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
136 SOUTH MAIN STREET
BELLE GLADE, FL
ZIP 33430
Phone: (561) 996-0500
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MS. Coretha Denise Smith, CERTIFIED ADDICTION is an addiction (substance use disorder) counselor in Belle Glade, FL. MS. Coretha Denise Smith, CERTIFIED ADDICTION NPI is 1518210483. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

136 SOUTH MAIN STREET
BELLE GLADE, FL
ZIP 33430
Phone: (561) 996-0500
Fax: (561) 992-8333

The NPI 1518210483 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 10/17/2012 and was last updated on 10/17/2012.

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	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	007	FLORIDA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0025	FLORIDA	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	5030	FLORIDA	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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