Provider Demographics
NPI:1609261445
Name:SMITH, CHERAMIE (LACII, CMFT, BS, MA)
Entity type:Individual
Prefix:MRS
First Name:CHERAMIE
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:LACII, CMFT, BS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 N COOPER ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-3434
Mailing Address - Country:US
Mailing Address - Phone:913-780-9600
Mailing Address - Fax:
Practice Address - Street 1:115 N COOPER ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-3434
Practice Address - Country:US
Practice Address - Phone:913-780-9600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS913101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)