Provider Demographics
NPI:1447576038
Name:SMITH, ROSALIND SHARELL (LPC-S, PHD)
Entity Type:Individual
Prefix:DR
First Name:ROSALIND
Middle Name:SHARELL
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC-S, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3124 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6209
Mailing Address - Country:US
Mailing Address - Phone:512-293-2526
Mailing Address - Fax:512-642-3363
Practice Address - Street 1:3124 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004
Practice Address - Country:US
Practice Address - Phone:512-293-2526
Practice Address - Fax:512-642-3363
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-08
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7390101YA0400X
TX66000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty