Healthcare Provider Details

I. General information

NPI: 1346010337
Provider Name (Legal Business Name): HARLEY SMITH LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2024
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 N MAITLAND AVE STE 285
MAITLAND FL
32751-4761
US

IV. Provider business mailing address

341 N MAITLAND AVE STE 285
MAITLAND FL
32751-4761
US

V. Phone/Fax

Practice location:
  • Phone: 407-923-7418
  • Fax:
Mailing address:
  • Phone: 407-923-7418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH26957
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: