Healthcare Provider Details

I. General information

NPI: 1073275244
Provider Name (Legal Business Name): HARMONY SMITH LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2021
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6608 E W T HARRIS BLVD STE D
CHARLOTTE NC
28215-5123
US

IV. Provider business mailing address

6608 E W T HARRIS BLVD STE D
CHARLOTTE NC
28215-5123
US

V. Phone/Fax

Practice location:
  • Phone: 704-405-4265
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-31869
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA23382
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: