Provider Demographics
NPI:1467902122
Name:SMITH, RASHEDA
Entity Type:Individual
Prefix:
First Name:RASHEDA
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:943 S ZENO WAY
Mailing Address - Street 2:207
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-3363
Mailing Address - Country:US
Mailing Address - Phone:720-695-7156
Mailing Address - Fax:
Practice Address - Street 1:943 S ZENO WAY
Practice Address - Street 2:207
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-3363
Practice Address - Country:US
Practice Address - Phone:720-695-7156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health