Provider Demographics
NPI:1447576038
Name:SMITH, ROSALIND SHARELL (LPC-S, PHD)
Entity type:Individual
Prefix:DR
First Name:ROSALIND
Middle Name:SHARELL
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC-S, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 CAMILLA LAKE RD
Mailing Address - Street 2:
Mailing Address - City:COLDSPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77331-6000
Mailing Address - Country:US
Mailing Address - Phone:512-293-2526
Mailing Address - Fax:936-653-8178
Practice Address - Street 1:860 CAMILLA LAKE RD
Practice Address - Street 2:
Practice Address - City:COLDSPRING
Practice Address - State:TX
Practice Address - Zip Code:77331-6000
Practice Address - Country:US
Practice Address - Phone:512-293-2526
Practice Address - Fax:366-539-1789
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66000251S00000X, 261QM0801X, 253Z00000X, 261QA0600X, 101YA0400X, 171M00000X, 261QM0850X, 251B00000X, 101YM0800X
323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No251B00000XAgenciesCase Management
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3976169-01Medicaid