Healthcare Provider Details
I. General information
NPI: 1528575784
Provider Name (Legal Business Name): JULIA SMAIL LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/09/2018
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
408 PEARL ST # 48
RISING SUN MD
21911-1889
US
IV. Provider business mailing address
PO BOX 48
RISING SUN MD
21911-0048
US
V. Phone/Fax
- Phone: 202-510-6080
- Fax:
- Phone: 202-510-6080
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | LC9494 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: