Provider Demographics
NPI:1124353404
Name:SMITH, LAURA LANGLEY (LPC, LPCS)
Entity type:Individual
Prefix:MISS
First Name:LAURA
Middle Name:LANGLEY
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC, LPCS
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:KRISTEN
Other - Last Name:LANGLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:116 OAKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:DARLINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29532-2510
Mailing Address - Country:US
Mailing Address - Phone:843-616-1739
Mailing Address - Fax:
Practice Address - Street 1:105 RUSSELL ST.
Practice Address - Street 2:
Practice Address - City:DARLINGTON
Practice Address - State:SC
Practice Address - Zip Code:29532-3309
Practice Address - Country:US
Practice Address - Phone:843-624-8661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-05
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6448101YP2500X
SC5073101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPC1001Medicaid