Healthcare Provider Details

I. General information

NPI: 1538085782
Provider Name (Legal Business Name): ANGELA M SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 BROWNS FERRY RD
CARMICHAELS PA
15320-1002
US

IV. Provider business mailing address

600 BROWNS FERRY RD
CARMICHAELS PA
15320-1002
US

V. Phone/Fax

Practice location:
  • Phone: 724-998-8783
  • Fax:
Mailing address:
  • Phone: 724-998-8783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: