MEDICARE: MS. LINDA DIANNE SMITH LPC, CEAP

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	010600	NC
2	101YP2500X	Professional Counselor	545	NC

General Provider Information

NPI Number	:	1700862752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA DIANNE SMITH LPC, CEAP

Provider Business Mailing Address
First Line	:	291 DEER PATH
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516-5093
Country	:	US
Telephone Number	:	919-967-8543
Fax Number	:

Provider Business Practice Location Address
First Line	:	291 DEER PATH
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516-5093
Country	:	US
Telephone Number	:	919-967-8543
Fax Number	:

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

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	03/18/2008

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