Provider Demographics
NPI:1427459593
Name:SMITH, ERIN JONES (MA, LPC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:JONES
Last Name:SMITH
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:471 FORT JOHNSON RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-9114
Mailing Address - Country:US
Mailing Address - Phone:843-330-6155
Mailing Address - Fax:
Practice Address - Street 1:913 BOWMAN RD
Practice Address - Street 2:B
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3235
Practice Address - Country:US
Practice Address - Phone:843-216-2535
Practice Address - Fax:843-216-2528
Is Sole Proprietor?:No
Enumeration Date:2014-09-09
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6341101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional