Individual
EQILLA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 LAFAYETTE ST STE 140B, GRETNA, LA 70053-5762
(504) 533-9152
Mailing address
8791 HOUMA DR, LA PLACE, LA 70068-6008
(504) 259-7546
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/12/2018
Last updated
09/07/2023
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