Individual
MR. TIMOTHY LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., L.P.C.
Contact information
Practice address
5158 STAGE RD, SUITE 120, MEMPHIS, TN 38134-3116
(901) 488-0073
(901) 377-9866
Mailing address
5158 STAGE RD, SUITE 120, MEMPHIS, TN 38134-3116
(901) 488-0073
(901) 377-9866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0000000554
TN
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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