MEDICARE: SM COUNSELING SERVICES PLLC

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
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215685334
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SM COUNSELING SERVICES PLLC

Provider Business Mailing Address
First Line	:	PO BOX 96
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28070-0096
Country	:	US
Telephone Number	:	980-549-0172
Fax Number	:

Provider Business Practice Location Address
First Line	:	309 MOSSBURN RD APT 202
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-8229
Country	:	US
Telephone Number	:	980-549-0172
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. STEPHANIE MICHELLE MCGEE
Credential	:	LCMHC
Telephone Number	:	980-549-0172

Provider Enumeration Date	:	03/17/2022
Last Update Date	:	07/20/2024

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