Provider Demographics
NPI:1427371590
Name:SMITH, SYLVIA SEGURA (LBSW)
Entity Type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:SEGURA
Last Name:SMITH
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5353 INSTITUTE LN
Mailing Address - Street 2:#17
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1879
Mailing Address - Country:US
Mailing Address - Phone:713-524-1291
Mailing Address - Fax:
Practice Address - Street 1:3033 FANNIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-3258
Practice Address - Country:US
Practice Address - Phone:713-654-0030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24172104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker