Provider Demographics
NPI:1477602076
Name:SMIH, KIMBERLY JOSETTE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:JOSETTE
Last Name:SMIH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11829 GATLINBURG DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-2310
Mailing Address - Country:US
Mailing Address - Phone:713-995-5504
Mailing Address - Fax:713-271-6609
Practice Address - Street 1:11829 GATLINBURG DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-2310
Practice Address - Country:US
Practice Address - Phone:713-995-5504
Practice Address - Fax:713-271-6609
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX158841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical