Jeremiah Cody Smith | Lake Worth, FL • PECOS Search

Jeremiah Cody Smith

Counselor

Behavioral Health & Social Service Providers

3898 Via Poinciana Ste 13, Lake Worth, FL 33467-2951

PECOS Enrollment

Based on the most recent information from CMS, provider Jeremiah Cody Smith does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1891921748
Provider Type
Individual
Full Name
Smith, Jeremiah Cody
Title
Mr.
Credential
LMHC

Gender
Male
Sole Proprietor
No
Enumeration Date
6/5/2009
Last Updated
11/25/2024

Contact Information

Practice Location

3898 Via Poinciana Ste 13, Lake Worth, FL 33467-2951

Unlisted Fax

Mailing Location

3898 Via Poinciana Ste 13, Lake Worth, FL 33467-2951

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MH10523 Florida