SHANAE ROSHELLE SMITH NPI 1578249199

NPI Information

NPI: 1578249199
Provider Name: SHANAE ROSHELLE SMITH
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
608 DELAWARE AVE
MCCOMB, MS
ZIP 39648
Phone: (601) 324-3109
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Shanae Roshelle Smith is a mental health counselor in Mccomb, MS. Shanae Roshelle Smith NPI is 1578249199. 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:

608 DELAWARE AVE
MCCOMB, MS
ZIP 39648-025
Phone: (601) 324-3109

The enumeration date for this NPI number is 6/27/2023 and was last updated on 6/27/2023.

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	101YM0800X	Counselor	Mental Health			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: 5/5/2024

NPI Synchronization or Removal

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