Individual
LISA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1454 MEXICO WAY NE, ROANOKE, VA 24012-6476
(434) 533-1088
(434) 664-1177
Mailing address
316 BROOK PARK PL, FOREST, VA 24551-2766
(434) 533-1088
(434) 664-1177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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