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NPI Code Detail

MEDICARE: SHENIKA SMITH LPCA

MEDICARE:   SHENIKA  SMITH  LPCA
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 CounselorA10747NC

General Provider Information

NPI Number : 1841604121
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHENIKA SMITH LPCA
Provider Business Mailing Address
First Line : 117 ANNIE JONES RD
Second Line :
City : WARRENTON
State : NC
Zip : 27589-9593
Country : US
Telephone Number : 252-820-9491
Fax Number :
Provider Business Practice Location Address
First Line : 106 W CHURCH ST STE H
Second Line :
City : CREEDMOOR
State : NC
Zip : 27522-9765
Country : US
Telephone Number : 252-820-9491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2014
Last Update Date : 06/16/2014

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Directions to “ SHENIKA SMITH LPCA” Practice Location

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