Organization
LEANNE S SMITH, PHD, LMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEANNE S SMITH PHD (LMHC)
(772) 288-7370
Entity
Organization
Contact information
Practice address
104 SE 6TH ST STE 2, STUART, FL 34994-3038
(772) 288-7370
Mailing address
104 SE 6TH ST STE 2, STUART, FL 34994-3038
(772) 288-7370
(772) 288-7370
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790793099
TYPE 1
—
Enumeration date
08/04/2020
Last updated
08/04/2020
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