Healthcare Provider Details

I. General information

NPI: 1326501362
Provider Name (Legal Business Name): TABITHA NICOLE SMOLZER LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2019
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 N DEKALB ST
SHELBY NC
28150-3911
US

IV. Provider business mailing address

412 GARLAND ST
SHELBY NC
28152-7008
US

V. Phone/Fax

Practice location:
  • Phone: 980-487-2100
  • Fax:
Mailing address:
  • Phone: 704-477-3476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number14665
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: