Individual
DR. LISA MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DBA, PHIC, H.C.
Contact information
Practice address
2470 WINDY HILL RD SE STE 300, MARIETTA, GA 30067-8621
(404) 795-2082
Mailing address
3316A S COBB DR SE # 274, SMYRNA, GA 30080-4118
(678) 542-4997
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
174H00000X
Health Educator
Primary
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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