Doctor Name: | CARRIE SMITH |
NPI Number: | 1346617776 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 309 E Main St Pickens, SC - 296712319 |
Business Phone Number: | 8648985800 |
Business Fax Number: | 8648985804 |
Mailing Address: | 309 E Main St, PICKENS |
State: | SC |
Postal Code: | 296712319 |
Phone Number: | 8648985800 |
Fax Number: | 8648985804 |
NPI Enumeration Date: | 09/02/2015 |
NPI Last Update Date: | 09/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |