Individual
TANEKIA DANIELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
129 E PARK CIR, BIRMINGHAM, AL 35235-3000
(205) 836-7283
(205) 836-7824
Mailing address
129 E PARK CIR, BIRMINGHAM, AL 35235-3000
(205) 836-7283
(205) 836-7824
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4198
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
BLUE CROSS BLUE SHIELD ALABAMA
AL
05
—
00000000
—
AL
Enumeration date
12/19/2019
Last updated
12/19/2019
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