Individual provider · Type 1 NPI

Shannon Smith

Mental Health Counselor · Tulsa, OK

NPI number 1093450066 Active

Practice location

6216 S Lewis Ave
Tulsa, OK 74136-1044

Call (918) 576-4332 Map

Mailing address

713 N Cedar Ave
Broken Arrow, OK 74012-2522

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1093450066

Shannon Smith's National Provider Identifier is 1093450066, issued on May 3, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tulsa, OK. The record was last updated on Jul 24, 2025.