MEDICARE: MS. SHARON A SMITH-MATHEWES M.ED.

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
1	101YP2500X	Professional Counselor	0964	SC

General Provider Information

NPI Number	:	1689654865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARON A SMITH-MATHEWES M.ED.

Provider Business Mailing Address
First Line	:	222 W COLEMAN BLVD
Second Line	:	SUITE 212
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-3588
Country	:	US
Telephone Number	:	843-881-2727
Fax Number	:	843-881-2720

Provider Business Practice Location Address
First Line	:	222 W COLEMAN BLVD
Second Line	:	SUITE 212
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-3588
Country	:	US
Telephone Number	:	843-881-2727
Fax Number	:	843-881-2720

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2006
Last Update Date	:	07/08/2007

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