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NPI Code Detail

MEDICARE: KELLEY ELIZABETH SMITH LPCC

MEDICARE: KELLEY ELIZABETH SMITH LPCC
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
1101YP2500XProfessional CounselorE.2102552OH

General Provider Information

NPI Number : 1407470784
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLEY ELIZABETH SMITH LPCC
Provider Business Mailing Address
First Line : 855 S WALL ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43206-1921
Country : US
Telephone Number : 614-706-0704
Fax Number : 614-972-6200
Provider Business Practice Location Address
First Line : 855 S WALL ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43206-1921
Country : US
Telephone Number : 614-706-0704
Fax Number : 614-972-6200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2020
Last Update Date : 05/14/2024

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Directions to “ KELLEY ELIZABETH SMITH LPCC” Practice Location

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