1518922327 NPI number — MELANIE SMITHSON MA, ADTR, LPC, CHT

Table of content: MELANIE SMITHSON MA, ADTR, LPC, CHT (NPI 1518922327)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518922327 NPI number — MELANIE SMITHSON MA, ADTR, LPC, CHT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SMITHSON
Provider First Name:
MELANIE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MA, ADTR, LPC, CHT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518922327
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/11/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9250 E COSTILLA AVE
Provider Second Line Business Mailing Address:
STE 630
Provider Business Mailing Address City Name:
GREENWOOD VILLAGE
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80112-3643
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-271-7659
Provider Business Mailing Address Fax Number:
303-986-3608

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9250 E COSTILLA AVE
Provider Second Line Business Practice Location Address:
STE 630
Provider Business Practice Location Address City Name:
GREENWOOD VILLAGE
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80112-3643
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-271-7659
Provider Business Practice Location Address Fax Number:
303-986-3608
Provider Enumeration Date:
04/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  2750 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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