Individual
TANISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8220 LICHTENAUER DR, LENEXA, KS 66219-1636
(913) 549-6918
(816) 974-3389
Mailing address
8220 LICHTENAUER DR, LENEXA, KS 66219-1636
(913) 549-6918
(816) 974-3389
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
03328
KS
1041C0700X
Clinical Social Worker
2023049921
MO
Other
Enumeration date
07/22/2019
Last updated
05/08/2025
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