Individual
VICKIE ELAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MRC, CRC
Contact information
Practice address
10554 COOKS LAKE RD, LUMBERTON, TX 77657-7453
(512) 644-1667
Mailing address
10554 COOKS LAKE RD, LUMBERTON, TX 77657-7453
(409) 227-4757
(409) 750-7677
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407442901
—
TX
Enumeration date
09/11/2019
Last updated
07/02/2025
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