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NPI Code Detail

MEDICARE: LISA MONICA SMITH LMHP-RESIDENT

MEDICARE: LISA MONICA SMITH LMHP-RESIDENT
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
1101YM0800XMental Health Counselor0704014130VA

General Provider Information

NPI Number : 1710840582
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA MONICA SMITH LMHP-RESIDENT
Provider Business Mailing Address
First Line : 6800 PARAGON PL STE 237
Second Line :
City : RICHMOND
State : VA
Zip : 23230-1651
Country : US
Telephone Number : 804-562-9997
Fax Number :
Provider Business Practice Location Address
First Line : 6800 PARAGON PL STE 237
Second Line :
City : RICHMOND
State : VA
Zip : 23230-1651
Country : US
Telephone Number : 804-562-9997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ LISA MONICA SMITH LMHP-RESIDENT” Practice Location

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