Provider Demographics
NPI:1932215282
Name:SMITH, CHARLA FAITH (LMFT)
Entity Type:Individual
Prefix:MS
First Name:CHARLA
Middle Name:FAITH
Last Name:SMITH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 SANDY SPRINGS RD
Mailing Address - Street 2:#602
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-6302
Mailing Address - Country:US
Mailing Address - Phone:713-278-7088
Mailing Address - Fax:
Practice Address - Street 1:11000 RICHMOND AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4776
Practice Address - Country:US
Practice Address - Phone:713-400-7400
Practice Address - Fax:713-974-0870
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4938106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist