NPI Profile for LISA SMITH in CLEVELAND, OH.
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 |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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LISA SMITH
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