| Smith Community Mental Health | |
|
601 S State Road 7 Plantation FL 33317-4054 | |
| (954) 321-2296 | |
| (954) 321-5399 |
| Full Name | Smith Community Mental Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 601 S State Road 7, Plantation, Florida |
| Authorized Official Name and Position | Joanne Correia-kent (AGENCY CO-ADMINISTRATOR) |
| Authorized Official Contact | 9543212296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smith Community Mental Health 601 S State Road 7 Plantation FL 33317-4054 Ph: (954) 321-2296 | Smith Community Mental Health 601 S State Road 7 Plantation FL 33317-4054 Ph: (954) 321-2296 |
| NPI Number | 1710439690 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 10/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710439690 | NPI | - | NPPES |
| 070164500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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