Individual
MISTTY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
208 SUNSET DR STE 104, JOHNSON CITY, TN 37604-2521
(432) 232-6281
Mailing address
525 SUGAR FLAT RD, LEBANON, TN 37087-7267
(615) 714-5478
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7759
TN
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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