Provider Demographics
NPI:1720325285
Name:SMITHEY COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:SMITHEY COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:SMITHEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMFT
Authorized Official - Phone:317-771-3839
Mailing Address - Street 1:4797 TIMBER CREEK LN
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46151-6591
Mailing Address - Country:US
Mailing Address - Phone:317-771-3839
Mailing Address - Fax:317-884-8929
Practice Address - Street 1:3209 W SMITH VALLEY RD
Practice Address - Street 2:SUITE 108
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-8495
Practice Address - Country:US
Practice Address - Phone:317-771-3839
Practice Address - Fax:317-884-8929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-03
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35001852A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty