Provider Demographics
NPI:1972852481
Name:WILSON-SMITH, CHERYL (MA,LPC)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:
Last Name:WILSON-SMITH
Suffix:
Gender:
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 1:313 W LIBERTY ST
Mailing Address - Street 2:SUITE 224
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2798
Mailing Address - Country:US
Mailing Address - Phone:717-394-3994
Mailing Address - Fax:717-394-0124
Practice Address - Street 1:313 W LIBERTY ST
Practice Address - Street 2:SUITE 224
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2798
Practice Address - Country:US
Practice Address - Phone:717-394-3994
Practice Address - Fax:717-394-0124
Is Sole Proprietor?:No
Enumeration Date:2012-08-30
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTPMC1044101YP2500X
PAPC006514101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional