MS. WANDA ELLEN SMART L.P.C. NPI 1912058629

NPI Information

  • NPI: 1912058629
  • Provider Name: MS. WANDA ELLEN SMART, L.P.C.
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 501 PINE TREE RD STE A-0
    LONGVIEW, TX
    ZIP 75604
  • Phone: (903) 758-2610

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NPI Details

MS. Wanda Ellen Smart, L.P.C. is a professional counselor in Longview, TX. MS. Wanda Ellen Smart, L.P.C. NPI is 1912058629. 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:

501 PINE TREE RD STE A-0
LONGVIEW, TX
ZIP 75604-000
Phone: (903) 758-2610
Fax: (903) 758-3124

The enumeration date for this NPI number is 1/16/2007 and was last updated on 1/5/2021.

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
1101YM0800XCounselorMental Health13802TEXASNo
2101YP2500XCounselorProfessional13802TEXASYes
3101YP2500XCounselorProfessionalNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
113802OTHERTEXASLICENSE TO PRACTICE
21130684-01MEDICAIDTEXAS

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: 11/21/2025

NPI Synchronization or Removal

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