Organization
LAURA SMITH, LPC DBA WINDHAM COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA A SMITH LPC (LICENSED PROFESSIONAL COUNSELOR)
(804) 301-4469
Entity
Organization
Contact information
Practice address
825 WINDHAM AVE, SOUTH HILL, VA 23970-1423
(804) 301-4469
Mailing address
825 WINDHAM AVE, SOUTH HILL, VA 23970-1423
(804) 301-4469
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003918
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447653381
NPI
VA
Enumeration date
11/17/2015
Last updated
11/17/2015
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