Provider Demographics
NPI:1841819273
Name:SMITH, EU'LINA EVETTE
Entity type:Individual
Prefix:
First Name:EU'LINA
Middle Name:EVETTE
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5902 PRESTON OAKS RD APT 2050
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-8769
Mailing Address - Country:US
Mailing Address - Phone:806-241-3360
Mailing Address - Fax:
Practice Address - Street 1:5899 PRESTON RD STE 1001
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9593
Practice Address - Country:US
Practice Address - Phone:806-241-3360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-15
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15104101YA0400X
TX80631101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional