Individual provider · Type 1 NPI

Theodore Vandix Smith Iii, L.M.S.W.

Mental Health Counselor · Flushing, NY

NPI number 1427203157 Active

Practice location

71-50 Parsons Blvd.
Flushing, NY 11365

Mailing address

102-32 189th Street
Hollis, NY 11423

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X068663-1 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1427203157

Theodore Vandix Smith Iii, L.M.S.W.'s National Provider Identifier is 1427203157, issued on Nov 21, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Flushing, NY. The record was last updated on Nov 21, 2008.