| Doctor Name: | MS. OLIVIA W. SMITH |
| NPI Number: | 1013395722 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED. |
| License Number: | 6104 |
| Business Practice Address: | 403 Stoney Landing Road Moncks Corner, SC - 294613967 |
| Business Phone Number: | 8437618282 |
| Business Fax Number: | 8437617308 |
| Mailing Address: | P.o. Box 1030, MONCKS CORNER |
| State: | SC |
| Postal Code: | 294613967 |
| Phone Number: | 8437618282 |
| Fax Number: | 8437617308 |
| NPI Enumeration Date: | 05/13/2015 |
| NPI Last Update Date: | 10/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6104 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |