Provider Demographics
NPI:1609255413
Name:SMITH COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:SMITH COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:STEWART
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:501-664-0091
Mailing Address - Street 1:1405 N PIERCE ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-5349
Mailing Address - Country:US
Mailing Address - Phone:501-664-0091
Mailing Address - Fax:501-664-0112
Practice Address - Street 1:1405 N PIERCE ST
Practice Address - Street 2:SUITE 212
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-5349
Practice Address - Country:US
Practice Address - Phone:501-664-0091
Practice Address - Fax:501-664-0112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-26
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1984-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty