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NPI Code Detail

MEDICARE: MS. MARCY L SMITH LPCC-S

MEDICARE: MS. MARCY L SMITH LPCC-S
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.0003875-SUPVOH

General Provider Information

NPI Number : 1780675470
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARCY L SMITH LPCC-S
Provider Business Mailing Address
First Line : 651 S LIMESTONE ST
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45505-1965
Country : US
Telephone Number : 937-324-1111
Fax Number : 937-525-4542
Provider Business Practice Location Address
First Line : 651 S LIMESTONE ST
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45505-1965
Country : US
Telephone Number : 937-324-1111
Fax Number : 937-328-7257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 06/03/2020

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Directions to “ MS. MARCY L SMITH LPCC-S” Practice Location

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