Michele Kim Lattimore-Smith, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC005189 Issued in GA

Practice address

381 Sunderland Way
Stockbridge, GA 30281-7957

Phone

(478) 451-3047

NPI assigned

Jul 12, 2008

Last updated

Dec 7, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1982868592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 SUNDERLAND WAY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817957",
            "telephone_number": "478-451-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 SUNDERLAND WAY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817957",
            "telephone_number": "478-451-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTIMORE-SMITH",
        "first_name": "MICHELE",
        "middle_name": "KIM",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-12",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.