DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. DIANA MARIE SMITH, PHD, LPC-MH

Active Sole Proprietor

Mental Health Counselor · BLACK HAWK, SD

Registration Details

NPI Number
1750433629
Provider Type
Individual
Gender
Female
NPI Issued
Jan 18, 2007 (19.290729397325 yrs)
Last Updated
Feb 7, 2020
Licenses
LPC MH 2025 (SD)
LPC MH 2025 (SD)
Sole Proprietor
Yes

Practice Information

Address
6613 EASTRIDGE RD
BLACK HAWK, SD, 577188335
Browse SD providers · Browse ZIP 57718
Phone
6054318595
Fax
6054318595
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.