Individual
TANYA T SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3620 PELHAM RD # 123, GREENVILLE, SC 29615-5044
(864) 346-3570
Mailing address
3620 PELHAM RD # 123, GREENVILLE, SC 29615-5044
(864) 346-3570
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7676
SC
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301100
—
SC
Enumeration date
08/29/2019
Last updated
04/01/2021
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