Individual
LINDA R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OFFICIAL AGENT
Contact information
Practice address
1324 TROTWOOD AVE STE 11, COLUMBIA, TN 38401-4750
(931) 215-2182
(931) 381-5363
Mailing address
100 N BIGBY DR, COLUMBIA, TN 38401-4704
(931) 215-2182
(931) 381-5363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
L000000036622
TN
101YM0800X
Mental Health Counselor
TNMFT-1814
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962746842
—
TN
01
—
L000000036622
LEGACY LIFE CARE PROGRAMS-OUTPATIENT MENTAL HEALTH AGENCY LICENSE
TN
05
—
Q0006613
—
TN
Enumeration date
01/15/2014
Last updated
02/19/2025
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