Provider Demographics
NPI:1962101964
Name:SMITH, JANEE (PLADC)
Entity type:Individual
Prefix:MRS
First Name:JANEE
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12213 S 33RD ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68123-1634
Mailing Address - Country:US
Mailing Address - Phone:402-312-1460
Mailing Address - Fax:
Practice Address - Street 1:112 E MISSION AVE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-5201
Practice Address - Country:US
Practice Address - Phone:402-257-1122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-28
Last Update Date:2023-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)