PORTIA SMITH LPC, CRC
NPI 1376966374
Counselor - Professional in Byron, GA
Active since January 27, 2014
About Portia Smith Lpc, Crc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORTIA SMITH LPC, CRC (NPI 1376966374) is an individual professional provider in Byron, Georgia, licensed in Georgia (LPC007434) and active in the NPI registry since January 2014.
NPPES Registry Identity
NPI1376966374
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NamePORTIA SMITHCredential: LPC, CRC
Location Address508 COVINGTON CVByron, GA 31008-9525
Mailing Address508 Covington CvByron, GA 31008-9525 · (478) 952-6703
Phone(478) 952-6703
Sole ProprietorNo
Enumeration DateJanuary 27, 2014
✔ NPI 1376966374 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC007434
508 COVINGTON CV, Byron, GA 31008
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376966374, enumerated as an "individual" on January 27, 2014.
The provider is located at 508 COVINGTON CV BYRON, GA 31008 and the phone number is (478) 952-6703.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
