Provider Demographics
NPI:1679982284
Name:SMART THERAPY, LLC
Entity type:Organization
Organization Name:SMART THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMART
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:509-703-8549
Mailing Address - Street 1:9708 N NEVADA ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-6004
Mailing Address - Country:US
Mailing Address - Phone:509-466-0226
Mailing Address - Fax:844-273-3042
Practice Address - Street 1:9708 N NEVADA ST
Practice Address - Street 2:SUITE 205
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-6004
Practice Address - Country:US
Practice Address - Phone:509-466-0226
Practice Address - Fax:844-273-3042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60043810101YM0800X
WALH60420747101YM0800X
WACH00002511111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty