| Doctor Name: | MS. BLYTHE HILARY SMITH |
| NPI Number: | 1255405676 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | |
| Business Practice Address: | 4440 Lincoln Hwy Suite # 307 Matteson, IL - 604432349 |
| Business Phone Number: | 7084313520 |
| Business Fax Number: | 7088953520 |
| Mailing Address: | 4440 Lincoln Hwy, Suite # 307 MATTESON |
| State: | IL |
| Postal Code: | 604432349 |
| Phone Number: | 7084313520 |
| Fax Number: | 7088953520 |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |