MEDICARE: CHARITY NOELLE SMYTH LMHCA

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	101Y00000X	Counselor	MHCA.MC.61634193	WA

General Provider Information

NPI Number	:	1457830390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARITY NOELLE SMYTH LMHCA

Provider Business Mailing Address
First Line	:	801 S MAIN ST APT 68
Second Line	:
City	:	MOUNT HOLLY
State	:	NC
Zip	:	28120-2051
Country	:	US
Telephone Number	:	206-429-5627
Fax Number	:	206-299-0766

Provider Business Practice Location Address
First Line	:	2719 E MADISON ST STE 200
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98112-4752
Country	:	US
Telephone Number	:	206-429-5627
Fax Number	:	206-299-0766

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

Provider Enumeration Date	:	08/10/2018
Last Update Date	:	03/09/2026

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