Organization
ANGELA SMITH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SMITH LPC (LICENSED PROFESSIONAL COUNSELOR)
(706) 232-6743
Entity
Organization
Contact information
Practice address
109 JOHN MADDOX SUITE 200, ROME, GA 30161
(706) 232-6743
Mailing address
109 JOHN MADDOX DR NW STE 200, ROME, GA 30165-1453
(706) 232-6743
(888) 349-2573
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC008021
GA
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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