CONSTANCE SALLY SMITH LADC LPCC NPI 1063703221

NPI Information

NPI: 1063703221
Provider Name: CONSTANCE SALLY SMITH, LADC, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
2120 PARK AVE
MINNEAPOLIS, MN
ZIP 55404
Phone: (651) 774-0011
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Constance Sally Smith, LADC, LPCC is a professional counselor in Minneapolis, MN. Constance Sally Smith, LADC, LPCC NPI is 1063703221. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2120 PARK AVE
MINNEAPOLIS, MN
ZIP 55404-378
Phone: (651) 774-0011
Fax: (651) 774-0606

The NPI 1063703221 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/22/2011 and was last updated on 12/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	302730	MINNESOTA	No
2	101YP2500X	Counselor	Professional			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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