Provider Demographics
NPI:1851572796
Name:SMITH, NATASHIA L (LPC)
Entity type:Individual
Prefix:
First Name:NATASHIA
Middle Name:L
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:NATASHIA
Other - Middle Name:L
Other - Last Name:FELDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:126 AIKEN ST
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:SC
Mailing Address - Zip Code:29924-4032
Mailing Address - Country:US
Mailing Address - Phone:803-226-5793
Mailing Address - Fax:
Practice Address - Street 1:11382 N JACOB SMART BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:RIDGELAND
Practice Address - State:SC
Practice Address - Zip Code:29936-2700
Practice Address - Country:US
Practice Address - Phone:843-441-9415
Practice Address - Fax:843-305-6107
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor