Provider Demographics
NPI:1154077659
Name:WARD-SMITH, CHELSEA PATRICE (LPC)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:PATRICE
Last Name:WARD-SMITH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 COTILLION DR UNIT 1410
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-7888
Mailing Address - Country:US
Mailing Address - Phone:678-368-8465
Mailing Address - Fax:
Practice Address - Street 1:1200 ALTMORE AVE STE 200
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-2495
Practice Address - Country:US
Practice Address - Phone:678-426-2930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-23
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC007219101YM0800X
GALPC13466101YP2500X
GALPC013466101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty