Individual
CARMEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
431 E STATE HIGHWAY 114 STE 140, SOUTHLAKE, TX 76092-4412
(844) 824-8775
Mailing address
431 E STATE HIGHWAY 114 STE 140, SOUTHLAKE, TX 76092-4412
(844) 824-8775
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
78150
TX
101YP2500X
Professional Counselor
Primary
78150
TX
Other
Enumeration date
09/12/2019
Last updated
11/02/2024
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