MEDICARE: DINA SMITH ENNEAGRAM CONSULTING, LLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1841145216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DINA SMITH ENNEAGRAM CONSULTING, LLC

Provider Business Mailing Address
First Line	:	PO BOX 357853
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32635-7853
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	806 NW 16TH AVE UNIT 326
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32601-4012
Country	:	US
Telephone Number	:	352-724-1360
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DINA SMITH
Credential	:	LMHC
Telephone Number	:	863-307-9969

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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