NPI | 1932690260 |
---|---|
Former Legal Business Name | ANGELA SMITH, LPC, NCC |
Other Name | ANGELA SMITH, LPC, NCC |
Doing Business As | ANGELA SMITH, LPC, NCC |
Entity Type | Organization |
Authorized Contact | ANGELA L SMITH Sole Mbr 706-233-2806 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008021) |
Enumeration Date | 2018-05-22 |
Last Update Date | 2020-04-16 |