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NPI Code Detail

MEDICARE: ERIN LOUISE SMITH M.ED, LPC

MEDICARE:   ERIN LOUISE SMITH  M.ED, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor71467TX

General Provider Information

NPI Number : 1538545793
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN LOUISE SMITH M.ED, LPC
Provider Business Mailing Address
First Line : PO BOX 149
Second Line :
City : SPRINGVILLE
State : TN
Zip : 38256-0149
Country : US
Telephone Number : 817-541-7136
Fax Number :
Provider Business Practice Location Address
First Line : 8780 HIGHWAY 69 S
Second Line :
City : SPRINGVILLE
State : TN
Zip : 38256-5409
Country : US
Telephone Number : 817-541-7136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2015
Last Update Date : 03/04/2021

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Directions to “ ERIN LOUISE SMITH M.ED, LPC” Practice Location

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