Provider Demographics
NPI:1811024987
Name:MECHELLE K. SMITH CONSULTING INCORPORATED
Entity Type:Organization
Organization Name:MECHELLE K. SMITH CONSULTING INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MECHELLE
Authorized Official - Middle Name:KIMBERLY
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-208-4755
Mailing Address - Street 1:641 E 96TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-1301
Mailing Address - Country:US
Mailing Address - Phone:718-485-5713
Mailing Address - Fax:718-345-2019
Practice Address - Street 1:641 E 96TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-1301
Practice Address - Country:US
Practice Address - Phone:718-485-5713
Practice Address - Fax:718-345-2019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty