Doctor Name: | OLINDA SMITH |
NPI Number: | 1023448156 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LPCA, LPC/I |
License Number: | A01225 |
Business Practice Address: | 1787 Pleasant Rd Fort Mill, SC - 297087862 |
Business Phone Number: | 8034934135 |
Business Fax Number: | |
Mailing Address: | 1787 Pleasant Rd, FORT MILL |
State: | SC |
Postal Code: | 297087862 |
Phone Number: | 8034934135 |
Fax Number: | |
NPI Enumeration Date: | 11/27/2013 |
NPI Last Update Date: | 11/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | A01225 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |