Healthcare Provider Details

I. General information

NPI: 1053239897
Provider Name (Legal Business Name): SMITH COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4656 JAMES ROYSTER RD
OXFORD NC
27565-7442
US

IV. Provider business mailing address

4656 JAMES ROYSTER RD
OXFORD NC
27565-7442
US

V. Phone/Fax

Practice location:
  • Phone: 704-301-0438
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANNA SMITH
Title or Position: OWNER
Credential:
Phone: 919-725-8101