| Doctor Name: | TARA LYNNE SMITH |
| NPI Number: | 1588000699 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | B.A., CACP |
| 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: | 05/15/2013 |
| NPI Last Update Date: | 05/15/2013 |
| 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: | |