Search › Louisiana › 171M00000X
Carnon Smith
NPI 1881054955 · on the registry since 2016
Practice
- Address
- 842 Margaret Pl
Shreveport, LA 71101 - Phone
- (318) 675-0406
- Fax
- (318) 675-0408
- Organisation at this address
- Community Enrichment Programs Llc
Supportive Integrated Services IncorporatedInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Additional practice sites
- 6811 Fairfield Ave, Shreveport, LA
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 104100000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana