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NPI Code Detail

MEDICARE: STEPHEN SMITH LPC

MEDICARE: STEPHEN SMITH LPC
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 Counselor0701014176VA

General Provider Information

NPI Number : 1942159561
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN SMITH LPC
Provider Business Mailing Address
First Line : 3803 HANOVER AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23221-2007
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4191 INNSLAKE DR STE 211
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-3324
Country : US
Telephone Number : 804-303-9622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 02/04/2026

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