Individual
LYDELL DEON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAPC, CRC
Contact information
Practice address
2964 VINSON CT, BUFORD, GA 30518-3505
(678) 866-4065
Mailing address
2964 VINSON CT, BUFORD, GA 30518-3505
(678) 866-4065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC010109
GA
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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