MRS. MARY BOB SMITH LPC NPI 1477565422

NPI Information

NPI: 1477565422
Provider Name: MRS. MARY BOB SMITH, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
703 E MARSHALL AVE
SUITE 4002
LONGVIEW, TX
ZIP 75601
Phone: (903) 234-9556
Get Directions

MRS. Mary Bob Smith, LPC is a professional counselor in Longview, TX. MRS. Mary Bob Smith, LPC NPI is 1477565422. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

703 E MARSHALL AVE
SUITE 4002
LONGVIEW, TX
ZIP 75601-500
Phone: (903) 234-9556
Fax: (903) 663-0378

The enumeration date for this NPI number is 8/11/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	10164	TEXAS	Yes
2	106H00000X	Marriage & Family Therapist		002974-036483	TEXAS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3318LC	OTHER		BCBS TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »