Provider Demographics
NPI:1609332857
Name:MARCHENA-SMITH, NAKEYSHA (MA, LMFT, CTP)
Entity Type:Individual
Prefix:MRS
First Name:NAKEYSHA
Middle Name:
Last Name:MARCHENA-SMITH
Suffix:
Gender:F
Credentials:MA, LMFT, CTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:924 NORTH MAGNOLIA AVENUE
Mailing Address - Street 2:SUITE 202 #1211
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803
Mailing Address - Country:US
Mailing Address - Phone:954-283-7273
Mailing Address - Fax:833-333-1484
Practice Address - Street 1:924 NORTH MAGNOLIA AVENUE
Practice Address - Street 2:SUITE 202 #1211
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803
Practice Address - Country:US
Practice Address - Phone:954-283-7273
Practice Address - Fax:833-333-1484
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-13
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3798103K00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist