Provider Demographics
NPI:1124893383
Name:STEPHANIE SMITH COUNSELING AND CONSULTATION
Entity type:Organization
Organization Name:STEPHANIE SMITH COUNSELING AND CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:520-288-1079
Mailing Address - Street 1:4016 W BROAD ST APT 214
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-3991
Mailing Address - Country:US
Mailing Address - Phone:520-288-1079
Mailing Address - Fax:
Practice Address - Street 1:4016 W BROAD ST APT 214
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3991
Practice Address - Country:US
Practice Address - Phone:520-288-1079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-17
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty