Stacy Smith, MDiv, EdD
Religious Nonmedical Practitioner in Memphis, TN. Individual provider (NPI-1).
NPI number1902524754
StatusActive
Last updated in NPPESAug 18, 2022
Details
- NPI
- 1902524754
- Entity type
- Individual (NPI-1)
- Name
- Stacy Smith
- Credential
- MDiv, EdD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2022
- Certification date
- Aug 18, 2022
- Last updated
- Aug 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374K00000X | Religious Nonmedical Practitioner | – | – | Yes |
Practice location
1211 Union Ave Fl 7Memphis, TN 38104-6638
Phone 202-487-0818
Mailing address
1211 Union Ave Fl 7Memphis, TN 38104-6638
Phone 202-487-0818
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