| Doctor Name: | MS. ANGELA GILLESPIE SMITH |
| NPI Number: | 1356786164 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 1685 |
| Business Practice Address: | 1326 Brooks Dr Clarksdale, MS - 386143415 |
| Business Phone Number: | 6628367333 |
| Business Fax Number: | |
| Mailing Address: | 1326 Brooks Drive, CLARKSDALE |
| State: | MS |
| Postal Code: | 38614 |
| Phone Number: | 6628367333 |
| Fax Number: | |
| NPI Enumeration Date: | 05/07/2013 |
| NPI Last Update Date: | 05/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1685 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |