National Provider Identifier

Shannon Marie Smith, LMFT

Shannon Marie Smith, LMFT is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist in Rochester, NY and a listed phone number of (585) 201-8845.

NPI 1487241485Rochester, NYMarriage & Family Therapist

Profile Overview

NPI
1487241485
Provider Type
Individual
Primary Specialty
Marriage & Family Therapist
Enumeration Date
December 23, 2020
Last Updated
January 24, 2024

Practice Location

  • 95 Allen'S Creek
  • Bld 1 Ste 263
  • Rochester, NY 14618-3254

Phone: (585) 201-8845

Mailing Address

  • 17 Elmore RD
  • Rochester, NY 14618-2301

Specialties

  • Marriage & Family Therapist (106H00000X)
Full Record
NPI
1487241485
Entity Type
Individual
Last Name
Smith
First Name
Shannon
Middle Name
Marie
Credential
LMFT
Mailing Street Address
17 Elmore RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-2301
Mailing Country
US
Mailing Phone
(585) 615-0640
Practice Street Address
95 Allen'S Creek
Practice Address Line 2
Bld 1 Ste 263
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-3254
Practice Country
US
Practice Phone
(585) 201-8845
Enumeration Date
December 23, 2020
Last Updated
January 24, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
January 24, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Marriage & Family Therapist (106H00000X)