MEDICARE: SYMONE SMITH

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	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1285586776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYMONE SMITH

Provider Business Mailing Address
First Line	:	755 E WHITTIER ST APT 304
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43206-2990
Country	:	US
Telephone Number	:	380-215-8786
Fax Number	:	380-215-8786

Provider Business Practice Location Address
First Line	:	755 E WHITTIER ST APT 304
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43206-2990
Country	:	US
Telephone Number	:	380-215-8786
Fax Number	:	380-215-8786

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “ SYMONE SMITH ” Practice Location

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