| Angela Smith, Lpc, Ncc | |
|
109 John Maddox Dr Nw Ste 200 Rome GA 30165-1453 | |
| (706) 233-2806 | |
| Not Available |
| Full Name | Angela Smith, Lpc, Ncc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 109 John Maddox Dr Nw Ste 200, Rome, Georgia |
| Authorized Official Name and Position | Angela L Smith (SOLE MBR) |
| Authorized Official Contact | 7062332806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Smith, Lpc, Ncc 521 Woodlawn Ave Ste 200 Calhoun GA 30701-1951 Ph: (706) 233-2806 | Angela Smith, Lpc, Ncc 109 John Maddox Dr Nw Ste 200 Rome GA 30165-1453 Ph: (706) 233-2806 |
| NPI Number | 1932690260 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 04/16/2020 |
| Certification Date | 04/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932690260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC008021 (Georgia) | Primary |
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