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NPI Code Detail

MEDICARE: RACHEL ALICE SMITH LPCC-S, LCADC

MEDICARE: RACHEL ALICE SMITH LPCC-S, LCADC
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) Counselor265858KY
2101YP2500XProfessional Counselor243594KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1243594OTHERKYLICENSED PROFESSIONAL CLINICAL COUNSELOR
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265924625
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ALICE SMITH LPCC-S, LCADC
Provider Business Mailing Address
First Line : 1115 ASHGROVE RD
Second Line :
City : NICHOLASVILLE
State : KY
Zip : 40356-9202
Country : US
Telephone Number : 859-813-0569
Fax Number :
Provider Business Practice Location Address
First Line : 1115 ASHGROVE RD
Second Line :
City : NICHOLASVILLE
State : KY
Zip : 40356-9202
Country : US
Telephone Number : 859-813-0569
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2018
Last Update Date : 03/07/2023

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