Individual
MS. MARILYN LEWIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC MHP
Contact information
Practice address
3810 WINCHESTER AVENUE, SOUTHEAST MENTAL HEALTH CENTER, MEMPHIS, TN 38118-9007
(901) 369-1420
(901) 369-1433
Mailing address
3810 WINCHESTER AVENUE, SOUTHEAST MENTAL HEALTH CENTER, MEMPHIS, TN 38118-9007
(901) 369-1420
(901) 369-1433
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000683
TN
101YM0800X
Mental Health Counselor
000683
TN
101YP2500X
Professional Counselor
000683
TN
Other
Enumeration date
10/13/2006
Last updated
09/11/2025
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