ETTA SMITH MAC NPI 1023488582

NPI Information

  • NPI: 1023488582
  • Provider Name: ETTA SMITH, MAC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 2470 MALL DR UNIT CD
    NORTH CHARLESTON, SC
    ZIP 29406
  • Phone: (843) 207-4721

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NPI Details

Etta Smith, MAC is an addiction (substance use disorder) counselor in North Charleston, SC. Etta Smith, MAC NPI is 1023488582. 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:

2470 MALL DR UNIT CD
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 207-4721

The enumeration date for this NPI number is 9/28/2015 and was last updated on 6/29/2018.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)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: 3/30/2025

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