MAMIE CHAVON SMITH LCSWA NPI 1336826643

NPI Information

  • NPI: 1336826643
  • Provider Name: MAMIE CHAVON SMITH, LCSWA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 364 RALEIGH ST
    HOLLY SPRINGS, NC
    ZIP 27540
  • Phone: (919) 647-4600

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NPI Details

Mamie Chavon Smith, LCSWA is a mental health counselor in Holly Springs, NC. Mamie Chavon Smith, LCSWA NPI is 1336826643. 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:

364 RALEIGH ST
HOLLY SPRINGS, NC
ZIP 27540-047
Phone: (919) 647-4600

The enumeration date for this NPI number is 6/28/2023 and was last updated on 6/28/2023.

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
1101YM0800XCounselorMental HealthP010858NORTH CAROLINAYes

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: 11/21/2025

NPI Synchronization or Removal

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