Provider Information for 1154680270
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Ms. CHARMAINE MARIA SMITH LMFT
Sex: Female
NPI: 1154680270
Last Updated: 2025-03-14
Certification Date: 2025-03-14
Certification Date: 2025-03-14
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1154680270 | ||||||||||||
| Enumeration Date | 2012-05-09 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 6697 LOUISVILLE, KY 40206-0697 United States Phone: 502-804-5410 | Fax: | ||||||||||||
| Primary Practice Address | 2210 GOLDSMITH LN STE 208C LOUISVILLE, KY 40218-1038 United States Phone: 502-804-5410 | Fax: | ||||||||||||
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