Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marilyn Smith, CIDDT

Individual provider Mental Health Counselor · NPI 1265156533

Marilyn Smith, CIDDT is a Mental Health Counselor in Ellisville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2022.

Licensed in
MS
In the registry since
2022

Practice location Address checks out

5192 Highway 11 N
Ellisville, MS 39437-5050
Phone: (601) 425-3439
Fax: (601) 649-7939
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 588 (MS)

Record details

NPI number1265156533
Entity typeIndividual (Type 1)
GenderFemale
Credentials CIDDT
Sole proprietorNo
NPI enumeratedSeptember 30, 2022
Last updated in NPPESSeptember 30, 2022
Certification dateSeptember 30, 2022
Mailing addressPo Box 18679, Hattiesburg, MS 39404-8679

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