Provider Demographics
NPI:1952047516
Name:SMITH, KAREEM LOUISE (MS, CTP)
Entity type:Individual
Prefix:MS
First Name:KAREEM
Middle Name:LOUISE
Last Name:SMITH
Suffix:
Gender:F
Credentials:MS, CTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4309 LINGLESTOWN RD STE 214
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-8607
Mailing Address - Country:US
Mailing Address - Phone:717-412-4908
Mailing Address - Fax:
Practice Address - Street 1:4309 LINGLESTOWN RD STE 214
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-8607
Practice Address - Country:US
Practice Address - Phone:717-412-4908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health