Provider Information for 1174696520
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SHERILE SMITH LPC-S
Other Names:Other Name:SHERILE SMITH WATTSSex: Female
NPI: 1174696520
Last Updated: 2021-01-04
Certification Date: 2021-01-04
Certification Date: 2021-01-04
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1174696520 | ||||||||
| Enumeration Date | 2006-11-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1801 MANHATTAN BLVD STE J #303 HARVEY, LA 70058 United States Phone: 985-265-7117 | Fax: | ||||||||
| Primary Practice Address | 1801 MANHATTAN BLVD STE J #303 HARVEY, LA 70058 United States Phone: 985-265-7117 | Fax: | ||||||||
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