Individual
LINDA GEORGETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LPC
Contact information
Practice address
123 E GAY ST, WARRENSBURG, MO 64093-1809
(660) 747-9242
Mailing address
2713 SHELBY ST, HIGGINSVILLE, MO 64037-2079
(660) 584-3043
(660) 584-7846
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
000272
MO
101YM0800X
Mental Health Counselor
000272
MO
101YP2500X
Professional Counselor
000272
MO
1041C0700X
Clinical Social Worker
Primary
004173
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004505
CIGNA PROVIDER #
MO
01
—
210121
MHN PROVIDER #
MO
01
—
24930021
BC PROVIDER #
MO
Enumeration date
12/22/2006
Last updated
09/06/2013
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