Individual
MR. ERIC LEVERN SMITH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MENTAL HEALTH COUNS
Contact information
Practice address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(843) 347-4888
(843) 347-4102
Mailing address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(843) 347-4888
(843) 347-4102
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-A-31267
NC
101YM0800X
Mental Health Counselor
Primary
31327
NC
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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