TANYA LAKE-SMITH
NPI 1356208284
Counselor - Mental Health in Mcdonough, GA
Active since January 05, 2026
About Tanya Lake-smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TANYA LAKE-SMITH (NPI 1356208284) is an individual mental health provider in Mcdonough, Georgia and active in the NPI registry since January 2026.
NPPES Registry Identity
NPI1356208284
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTANYA LAKE-SMITH
Location Address4109 ENISA WAYMcdonough, GA 30253-4337
Mailing Address4109 Enisa WayMcdonough, GA 30253-4337 · (678) 886-3984
Phone(678) 886-3984
Sole ProprietorYes
Enumeration DateJanuary 5, 2026
NPPES CertifiedJanuary 5, 2026
✔ NPI 1356208284 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4109 ENISA WAY, Mcdonough, GA 30253
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356208284, enumerated as an "individual" on January 05, 2026.
The provider is located at 4109 ENISA WAY MCDONOUGH, GA 30253 and the phone number is (678) 886-3984.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
