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NPI Code Detail

MEDICARE: DIONNA SIMONE SMITH-JOHNSON LCMHC, LCAS-A

MEDICARE: DIONNA SIMONE SMITH-JOHNSON LCMHC, LCAS-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor28729NC
2101YM0800XMental Health Counselor18584NC

General Provider Information

NPI Number : 1144939711
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIONNA SIMONE SMITH-JOHNSON LCMHC, LCAS-A
Provider Business Mailing Address
First Line : 1706 WAYNE MEMORIAL DR
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-2240
Country : US
Telephone Number : 919-734-6676
Fax Number :
Provider Business Practice Location Address
First Line : 1706 WAYNE MEMORIAL DR
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-2240
Country : US
Telephone Number : 919-734-6676
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2022
Last Update Date : 02/04/2026

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