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NPI Code Detail

MEDICARE: GEORGIA SMITH LPCC

MEDICARE: GEORGIA SMITH LPCC
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 CounselorE.1901035OH
2101Y00000XCounselorC0005561OH

General Provider Information

NPI Number : 1922150622
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGIA SMITH LPCC
Provider Business Mailing Address
First Line : 11980 ROLLER COASTER RD
Second Line :
City : LISBON
State : OH
Zip : 44432-9511
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 45875 BELL SCHOOL RD STE B
Second Line :
City : EAST LIVERPOOL
State : OH
Zip : 43920-8728
Country : US
Telephone Number : 330-397-6007
Fax Number : 234-254-5655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 01/22/2025

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Directions to “ GEORGIA SMITH LPCC” Practice Location

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