Individual
AMY RENEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCMHCS, CCS
Contact information
Practice address
10000 EMMETT F LOWRY EXPY STE 1220, TEXAS CITY, TX 77591-2129
(409) 763-2373
Mailing address
2122 CASA RIO CIR # A7, DICKINSON, TX 77539-6725
(832) 658-9733
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1954
NC
101YP2500X
Professional Counselor
Primary
83267
TX
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104529
—
NC
Enumeration date
07/02/2010
Last updated
01/16/2020
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