Individual
KEVIN SMITHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, PLPC
Contact information
Practice address
1605 BENTON RD STE D, BOSSIER CITY, LA 71111-3579
(318) 742-0500
Mailing address
829 AUDUBON PL, SHREVEPORT, LA 71105-2812
(318) 269-5913
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3969670
—
LA
Enumeration date
04/04/2018
Last updated
03/16/2026
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