Individual provider · Type 1 NPI
Diana Marie Smith, PhD, LPC-MH
Mental Health Counselor · Black Hawk, SD
NPI number
1750433629
Active
Practice location
6613 Eastridge Rd
Black Hawk, SD 57718-8335
Fax (605) 431-8595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | LPC MH 2025 (SD) |
| Mental Health Counselor Primary | 101YM0800X | LPC MH 2025 (SD) |
Mental Health Counselor: Definition to come...
About NPI 1750433629
Diana Marie Smith, PhD, LPC-MH's National Provider Identifier is 1750433629, issued on Jan 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Black Hawk, SD. The record was last updated on Feb 7, 2020.