Healthcare Provider Details

I. General information

NPI: 1508787706
Provider Name (Legal Business Name): DANIELLA LENEE SMITH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3538 RIDGEWOOD RD
FAIRLAWN OH
44333-3122
US

IV. Provider business mailing address

PO BOX 223
CHAGRIN FALLS OH
44022-0223
US

V. Phone/Fax

Practice location:
  • Phone: 216-584-8495
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: