Healthcare Provider Details

I. General information

NPI: 1699153874
Provider Name (Legal Business Name): LAUREN SMITH MMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2015
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1726 GOLD HILL RD # 1003
FORT MILL SC
29708-6990
US

IV. Provider business mailing address

1028 ORCHARD GROVES CT APT 203
BELMONT NC
28012-4177
US

V. Phone/Fax

Practice location:
  • Phone: 864-386-4668
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number6989
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number20452
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: