Keri A Smith
Clinic/Center, Mental Health (Including Community Mental Health Center) in East Sparta, OH. Individual provider (NPI-1).
NPI number1447876248
StatusActive
Last updated in NPPESJun 18, 2020
Details
- NPI
- 1447876248
- Entity type
- Individual (NPI-1)
- Name
- Keri A Smith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 18, 2020
- Certification date
- Jun 18, 2020
- Last updated
- Jun 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
5671 Breezehill Rd SwEast Sparta, OH 44626-9405
Phone 330-495-0791
Mailing address
5671 Breezehill Rd SwEast Sparta, OH 44626-9405
Phone 330-495-0791
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