Elizabeth Mae Smith, PLCSW QP
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · La Grange, NC
NPI 1295967271 · NPPES record last updated Sep 7, 2018
Key facts
- NPI
- 1295967271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- LCAS-2559 (NC)
- Practice address
- 6257 Roberts Dr
La Grange, NC 28551-6805 - Phone
- (919) 709-6340
- Fax
- (252) 566-9440
- NPI assigned
- Aug 10, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-2559 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-2559 | NC | Yes |
Addresses
Primary practice location
6257 Roberts Dr
La Grange, NC 28551-6805
Mailing address
6257 Roberts Dr
La Grange, NC 28551-6805
Phone (919) 709-6340
Other providers in La Grange, NC
- Premium Healthcare Services
- Kadeedrah Pridgen
- Rha Health Services NC, LLC
- Rha Health Services NC, LLC
- Laura W Shearer
- Erich Waverly Smith
- Jennifer Lynn Sparks
- Donald Sutton
- University of North Carolina Hospitals at Chapel Hill
- Uplift Diagnostic Services, LLC
All providers in La Grange, NC · Addiction (Substance Use Disorder) Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.