Individual
MRS. MELISSA DEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
8106 RED STONE HILL RD, LOUISVILLE, KY 40214-4614
(502) 438-6460
(833) 953-0891
Mailing address
8106 RED STONE HILL RD, LOUISVILLE, KY 40214-4614
(502) 438-6460
(833) 953-0891
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
252098
KY
101YP2500X
Professional Counselor
Primary
252098
KY
106H00000X
Marriage & Family Therapist
252098
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100638550
—
KY
Enumeration date
07/25/2019
Last updated
05/18/2021
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