Doctor Name: | CHRISTY LEE SMITH |
NPI Number: | 1477831584 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | LPC 1226 |
Business Practice Address: | 108 Lakeside Dr Sneads Ferry, NC - 284609415 |
Business Phone Number: | 9103333838 |
Business Fax Number: | |
Mailing Address: | 306 N Wilmington St, RICHLANDS |
State: | NC |
Postal Code: | 285748340 |
Phone Number: | 9103333838 |
Fax Number: | |
NPI Enumeration Date: | 07/25/2011 |
NPI Last Update Date: | 08/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPC 1226 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |