Provider Information for 1619290814
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Mrs. STEPHANIE MARIE SMITH LPC/MHSP
Sex: Female
NPI: 1619290814
Last Updated: 2020-10-26
Certification Date: 2020-10-26
Certification Date: 2020-10-26
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1619290814 | ||||||||
| Enumeration Date | 2010-03-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 275 CUMBERLAND BND NASHVILLE, TN 37228-1805 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 801 N HOLTZCLAW AVE # 101 CHATTANOOGA, TN 37404-1236 United States Phone: 866-816-0433 | Fax: | ||||||||
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