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Contact Information

LISA SMITH, LICDC, SAP, LPC
4100 FRANKLIN BLVD
CLEVELAND, OH44113-2842
 Phone: 216-623-0959
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Prevention Professional

405300000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for LISA SMITH · (Female)

NPI # 1255710570
Status Active
Credentials LICDC, SAP, LPC
Entity Individual
Enumeration date 05/19/2015
Last updated 11/23/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 111024
  • OH License # C.2003026
  • OH License # OCPC.1222
  • OH Medicaid 0206488
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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