MEDICARE: LAQUOSHA SMITH LPC, NCC

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	101YP2500X	Professional Counselor	7128	SC

General Provider Information

NPI Number	:	1740813732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAQUOSHA SMITH LPC, NCC

Provider Business Mailing Address
First Line	:	3135 ALPINE DR
Second Line	:
City	:	GREEN SEA
State	:	SC
Zip	:	29545-5155
Country	:	US
Telephone Number	:	843-340-2307
Fax Number	:

Provider Business Practice Location Address
First Line	:	3135 ALPINE DR
Second Line	:
City	:	GREEN SEA
State	:	SC
Zip	:	29545-5155
Country	:	US
Telephone Number	:	843-340-2307
Fax Number	:

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

Provider Enumeration Date	:	02/18/2020
Last Update Date	:	02/18/2020

Similar Medicare Providers

1194806604 — LORIS COMMUNITY HOSPITAL DISTRICT
Practice Location Address:

5260 HWY 9
GREEN SEA, SC
29545

Practice Phone: 843-392-9222
Practice Fax: 843-392-1445

1619158938 — LITTLE RIVER MEDICAL CENTER, INC.
Practice Location Address:

5000 TULIP GROVE RD
GREEN SEA, SC
29545-4977

Practice Phone: 843-392-1078
Practice Fax: 843-392-1090

1114204153 — MCLEOD PHYSICIAN ASSOCIATES II
Practice Location Address:

5260 HIGHWAY 9
GREEN SEA, SC
29545-4930

Practice Phone: 843-392-9222
Practice Fax: 843-392-1445

1245678895 — ALLISON BIRD ATC
Practice Location Address:

4990 TULIP GROVE RD
GREEN SEA, SC
29545-4977

Practice Phone: 843-392-3131
Practice Fax:

1114395183 — MISS KATHRYN M CAMPMAN ATC, SCAT
Practice Location Address:

4990 TULIP GROVE RD
GREEN SEA, SC
29545-4977

Practice Phone: 843-492-1047
Practice Fax:

1720689946 — SEFA BAILEY
Practice Location Address:

2952 LITTLE BETHEL RD
GREEN SEA, SC
29545-3729

Practice Phone: 843-489-1025
Practice Fax:

Directions to “ LAQUOSHA SMITH LPC, NCC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.