Individual
DR. SELENA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPSW, LADACII, PH.D
Contact information
Practice address
5865 RIDGEWAY CENTER PKWY STE 300, MEMPHIS, TN 38120-4014
(901) 672-7857
(615) 658-7857
Mailing address
5865 RIDGEWAY CENTER PKWY STE 300, MEMPHIS, TN 38120-4014
(901) 672-7857
(615) 658-4559
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1360
TN
1041C0700X
Clinical Social Worker
Primary
155
—
1041C0700X
Clinical Social Worker
CMSW0006120
TN
Other
Enumeration date
01/31/2007
Last updated
02/19/2021
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