MS. YVONNE DENISE SMITH LCAS CCS NPI 1699853879

NPI Information

NPI: 1699853879
Provider Name: MS. YVONNE DENISE SMITH, LCAS, CCS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
226 BRADFORD AVENUE
FAYETTEVILLE, NC
ZIP 28301
Phone: (910) 829-9017
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MS. Yvonne Denise Smith, LCAS, CCS is an addiction (substance use disorder) counselor in Fayetteville, NC. MS. Yvonne Denise Smith, LCAS, CCS NPI is 1699853879. 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:

226 BRADFORD AVENUE
FAYETTEVILLE, NC
ZIP 28301
Phone: (910) 829-9017
Fax: (910) 485-4752

The enumeration date for this NPI number is 11/2/2006 and was last updated on 10/17/2012.

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)	764	NORTH CAROLINA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCAS-746;CCS-520	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6111893	MEDICAID	NORTH CAROLINA

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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