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NPI Code Detail

MEDICARE: MRS. AMY B SMITH LPC, MAC, NCC

MEDICARE: MRS. AMY B SMITH LPC, MAC, NCC
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 CounselorPRC13763DC

General Provider Information

NPI Number : 1891768263
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY B SMITH LPC, MAC, NCC
Provider Business Mailing Address
First Line : 803 17TH ST SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20003-3128
Country : US
Telephone Number : 202-547-8667
Fax Number : 202-547-8667
Provider Business Practice Location Address
First Line : 1629 K ST NW STE 300
Second Line :
City : WASHINGTON
State : DC
Zip : 20006-1631
Country : US
Telephone Number : 202-210-0607
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 05/06/2020

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