Provider Demographics
NPI:1750870218
Name:SMITH, ASHLEY M (MS, PSYD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:M
Last Name:SMITH
Suffix:
Gender:F
Credentials:MS, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4349 MARTIN LUTHER KING BLVD
Mailing Address - Street 2:HEALTH 2 BUILDING, SUITE 1001E
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77204
Mailing Address - Country:US
Mailing Address - Phone:713-743-9862
Mailing Address - Fax:713-743-1049
Practice Address - Street 1:4349 MARTIN LUTHER KING BLVD
Practice Address - Street 2:HEALTH 2 BUILDING, SUITE 1001E
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77204
Practice Address - Country:US
Practice Address - Phone:713-743-9862
Practice Address - Fax:713-743-1049
Is Sole Proprietor?:No
Enumeration Date:2018-05-09
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX39862103TC0700X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health