Provider Demographics
NPI:1134900343
Name:SMITH, DANICA (ACMHC)
Entity type:Individual
Prefix:
First Name:DANICA
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:ACMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 E 400 S STE 4
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-1987
Mailing Address - Country:US
Mailing Address - Phone:385-364-0202
Mailing Address - Fax:385-758-4933
Practice Address - Street 1:376 E 400 S STE 4
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:UT
Practice Address - Zip Code:84663-1987
Practice Address - Country:US
Practice Address - Phone:385-364-0202
Practice Address - Fax:385-758-4933
Is Sole Proprietor?:No
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13427132-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health