Individual
ENRICA T SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT/LCSW
Contact information
Practice address
1500 ENVOY CIR STE 1520, LOUISVILLE, KY 40299-2898
(502) 200-4992
Mailing address
PO BOX 664, HILLVIEW, KY 40129-0664
(502) 200-4992
(888) 972-4081
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
252697
KY
106H00000X
Marriage & Family Therapist
0839
KY
106H00000X
Marriage & Family Therapist
Primary
105238
KY
106H00000X
Marriage & Family Therapist
204109
TX
106H00000X
Marriage & Family Therapist
35001941A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100299920
—
KY
Enumeration date
11/05/2009
Last updated
03/11/2025
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