GABRIELLE SMITH LCMHC-A, LCAS-A
NPI 1780368894
Counselor - Mental Health in Ayden, NC
Active since June 12, 2023
About Gabrielle Smith Lcmhc-a, Lcas-a NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GABRIELLE SMITH LCMHC-A, LCAS-A (NPI 1780368894) is an individual mental health provider in Ayden, North Carolina, licensed in North Carolina (A16567) and active in the NPI registry since June 2023.
NPPES Registry Identity
NPI1780368894
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGABRIELLE SMITHCredential: LCMHC-A, LCAS-A
Location Address4748 EMMA CANNON RDAyden, NC 28513-7538
Mailing Address4748 Emma Cannon RdAyden, NC 28513-7538
Phone(315) 719-5616
Sole ProprietorYes
Enumeration DateJune 12, 2023
NPPES CertifiedJune 10, 2023
✔ NPI 1780368894 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · A16567
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-26341 (NC)
4748 EMMA CANNON RD, Ayden, NC 28513
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780368894, enumerated as an "individual" on June 12, 2023.
The provider is located at 4748 EMMA CANNON RD AYDEN, NC 28513 and the phone number is (315) 719-5616.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.