Individual provider · Type 1 NPI

Micah Jovan Smith

Rehabilitation Practitioner · Las Vegas, NV

NPI number 1316440308 Active

Practice location

2755 E Desert Inn Rd Ste 130
Las Vegas, NV 89121-3690

Call (702) 490-9009 Map

Fax (866) 737-6147

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1316440308

Micah Jovan Smith's National Provider Identifier is 1316440308, issued on Mar 15, 2018. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 21, 2026.