Provider Demographics
NPI:1679989826
Name:SMITH, HEIDI VOET (LPC)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:VOET
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3107 CANYON CREEK DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-1551
Mailing Address - Country:US
Mailing Address - Phone:972-567-4280
Mailing Address - Fax:
Practice Address - Street 1:9850 N CENTRAL EXPY
Practice Address - Street 2:SUITE 264
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4325
Practice Address - Country:US
Practice Address - Phone:972-567-4280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19392101YA0400X, 101YP2500X, 101YM0800X
MECC3436101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health