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NPI Code Detail

MEDICARE: CHAD MICHAEL SMITH LMHC

MEDICARE: CHAD MICHAEL SMITH LMHC
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
1101Y00000XCounselorIMH 10841FL
2101YM0800XMental Health CounselorMH21483FL

General Provider Information

NPI Number : 1851768626
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAD MICHAEL SMITH LMHC
Provider Business Mailing Address
First Line : 8570 GRANITE CT STE 101
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-4240
Country : US
Telephone Number : 833-769-3524
Fax Number : 239-256-7516
Provider Business Practice Location Address
First Line : 8570 GRANITE CT STE 101
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-4240
Country : US
Telephone Number : 833-769-3524
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2015
Last Update Date : 01/05/2026

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Directions to “ CHAD MICHAEL SMITH LMHC” Practice Location

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