Provider Demographics
NPI:1558534438
Name:SALDIVAR-SMITH, AMIRAH PAULINE (MA, LPC, LCDC)
Entity Type:Individual
Prefix:MRS
First Name:AMIRAH
Middle Name:PAULINE
Last Name:SALDIVAR-SMITH
Suffix:
Gender:F
Credentials:MA, LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 E BEELINE LN
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-1910
Mailing Address - Country:US
Mailing Address - Phone:254-279-4305
Mailing Address - Fax:254-218-5532
Practice Address - Street 1:202 E BEELINE LN
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-1910
Practice Address - Country:US
Practice Address - Phone:254-279-4305
Practice Address - Fax:254-218-5532
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10038101YA0400X
AZ15254101YP2500X
TX20023101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)