Doctor Name: | MCLENDON SMITH WINSTEAD |
NPI Number: | 1073949392 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CSAC, SAP |
License Number: | 2190 |
Business Practice Address: | 115 S. Battleground Ave Kings Mountain, NC - 280860942 |
Business Phone Number: | 7047341600 |
Business Fax Number: | 7047391888 |
Mailing Address: | Po Box 942, 115 S Battleground Ave KINGS MOUNTAIN |
State: | NC |
Postal Code: | 280860942 |
Phone Number: | 7047341600 |
Fax Number: | 7047391888 |
NPI Enumeration Date: | 09/18/2013 |
NPI Last Update Date: | 09/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 2190 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |