Healthcare Provider Details

I. General information

NPI: 1255245189
Provider Name (Legal Business Name): ERIN M SMITH M.S., LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 PLEASANT VALLEY RD
MILFORD NY
13807-1162
US

IV. Provider business mailing address

660 PLEASANT VALLEY RD
MILFORD NY
13807-1162
US

V. Phone/Fax

Practice location:
  • Phone: 215-704-8745
  • Fax:
Mailing address:
  • Phone: 215-704-8745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number008065
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: