=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851572796
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NATASHIA L SMITH LPC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/20/2007
-----------------------------------------------------
Last Update Date | 07/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11382 N JACOB SMART BLVD SUITE D
-----------------------------------------------------
City | RIDGELAND
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29936-2700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-441-9415
-----------------------------------------------------
Fax | 843-305-6107
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 126 AIKEN ST
-----------------------------------------------------
City | HAMPTON
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29924-4032
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-226-5793
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 6146
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------