Provider Demographics
NPI:1437837408
Name:SMR MENTAL HEALTH COUNSELING LLC
Entity Type:Organization
Organization Name:SMR MENTAL HEALTH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, QS
Authorized Official - Phone:754-222-2914
Mailing Address - Street 1:261 N UNIVERSITY DR STE 500
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2009
Mailing Address - Country:US
Mailing Address - Phone:754-222-2914
Mailing Address - Fax:754-484-3917
Practice Address - Street 1:261 N UNIVERSITY DR
Practice Address - Street 2:STE 500
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2009
Practice Address - Country:US
Practice Address - Phone:754-222-2914
Practice Address - Fax:754-484-3917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty