Larry Eugene Smith in Grove - Addiction (substance Use Disorder)
Larry Eugene Smith - NPI 1548469448
Larry Eugene Smith is a Addiction (substance Use Disorder) in Grove, Oklahoma. Larry Eugene Smith practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Larry Eugene Smith is 1548469448. The last update date is 2007-07-12.
Larry Eugene Smith's current location address is Po Box 451585, Grove, Oklahoma. You can contact this provider via phone number 9187877769 and fax number 9187877761. The mailing address for Larry Eugene Smith is Po Box 451585, Grove, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Eugene Smith |
|---|---|
| Address | Po Box 451585, Grove, Oklahoma |
| Phone Number | 9187877769 |
| Fax Number | 9187877761 |
| Sole Proprietor | Y |
| Credentials | CADC,ICADC |
NPI Number Detail
| NPI Number | 1548469448 |
|---|---|
| Provider Enumeration Date | 2007-07-12 |
| Last Updated Date | 2007-07-12 |
Provider Mailing Address Detail
| Address | Po Box 451585 |
|---|---|
| City | Grove |
| State | Oklahoma (OK) |
| Post Code | 743451585 |
| Phone Number | 9187877769 |
| Fax Number | 9187877761 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 46, 13162 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4613162 | OK | CADC, ICADC |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Larry Eugene Smith by the Centers for Medicare & Medicaid Services?
The Larry Eugene Smith has been assigned the NPI (National Provider Identifier) 1548469448 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Larry Eugene Smith located?
The Larry Eugene Smith is located at Po Box 451585, Grove, OK 743451585.
What is the area of specialization for Larry Eugene Smith, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Larry Eugene Smith is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did the Larry Eugene Smith receive its 1548469448 assignment from the Centers for Medicare & Medicaid Services?
The Larry Eugene Smith was assigned its 1548469448 by the Centers for Medicare & Medicaid Services on 2007-07-12.
When was the Larry Eugene Smith's information last updated?
The Larry Eugene Smith's information was last updated on 2007-07-12.