Provider Demographics
NPI:1508274176
Name:CHILDREN'S ADVOCACY CENTER OF SMITH COUNTY
Entity Type:Organization
Organization Name:CHILDREN'S ADVOCACY CENTER OF SMITH COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-533-1880
Mailing Address - Street 1:2210 FRANKSTON HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701
Mailing Address - Country:US
Mailing Address - Phone:903-533-1880
Mailing Address - Fax:903-533-8862
Practice Address - Street 1:2210 FRANKSTON HWY
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-8900
Practice Address - Country:US
Practice Address - Phone:903-533-1880
Practice Address - Fax:903-533-8862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-28
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable