MR. MARCUS LACEY SMITH NPI 1083378764

NPI Information

  • NPI: 1083378764
  • Provider Name: MR. MARCUS LACEY SMITH
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1106 E GENESEE ST
    SYRACUSE, NY
    ZIP 13210
  • Phone: (315) 391-8482

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NPI Details

MR. Marcus Lacey Smith is a mental health counselor in Syracuse, NY. MR. Marcus Lacey Smith NPI is 1083378764. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1106 E GENESEE ST
SYRACUSE, NY
ZIP 13210-901
Phone: (315) 391-8482

The enumeration date for this NPI number is 10/28/2021 and was last updated on 10/28/2021.

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
1101YM0800XCounselorMental Health005367NEW YORKYes

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
1005367OTHERNEW YORKLMHC

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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