Provider Demographics
NPI:1407169378
Name:EVA SMEJKAL-SMITH
Entity Type:Organization
Organization Name:EVA SMEJKAL-SMITH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMEJKAL-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFTA
Authorized Official - Phone:713-703-2708
Mailing Address - Street 1:25227 GROGANS MILL RD STE 125
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3104
Mailing Address - Country:US
Mailing Address - Phone:713-703-2708
Mailing Address - Fax:
Practice Address - Street 1:25227 GROGANS MILL RD STE 125
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3104
Practice Address - Country:US
Practice Address - Phone:713-703-2708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201456251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health