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NPI Code Detail

MEDICARE: DR. LARRY JENNINGS SMITH LPC, LCDC

MEDICARE:  DR. LARRY JENNINGS SMITH  LPC, LCDC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor14113TX
2101YP2500XProfessional Counselor16320NC
3101YP2500XProfessional Counselor79707TX

General Provider Information

NPI Number : 1871076299
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LARRY JENNINGS SMITH LPC, LCDC
Provider Business Mailing Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 512-522-5502
Fax Number :
Provider Business Practice Location Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 512-522-5502
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2018
Last Update Date : 03/24/2026

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Directions to “ DR. LARRY JENNINGS SMITH LPC, LCDC” Practice Location

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