Provider Demographics
NPI:1124533112
Name:SMITH, ERIN DENITA (LMHC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:DENITA
Last Name:SMITH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:SMITH
Other - Last Name:GRIGGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RMHCI
Mailing Address - Street 1:41 COHEN WALKER DR APT 2204
Mailing Address - Street 2:
Mailing Address - City:KATHLEEN
Mailing Address - State:GA
Mailing Address - Zip Code:31047-2772
Mailing Address - Country:US
Mailing Address - Phone:334-233-0198
Mailing Address - Fax:
Practice Address - Street 1:41 COHEN WALKER DR APT 2204
Practice Address - Street 2:
Practice Address - City:KATHLEEN
Practice Address - State:GA
Practice Address - Zip Code:31047-2772
Practice Address - Country:US
Practice Address - Phone:334-233-0198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-12
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH17293101YM0800X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor