GWENDOLYN W. SMITH (NPI# 1659405967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659405967 |
| Entity Type | Individual |
| Full Name | GWENDOLYN W. SMITH |
| Credential | LPC |
| Practice Address |
501 Mize St. Lafayette GA 30728 |
| Mailing Address |
Po Box 1027 La Fayette GA 30728-1027 |
| Practice Telephone | 7066385580 |
| Practice Fax Number | 7066392041 |
| Mailing Telephone | 7066385580 |
| Mailing Fax Number | 7066392041 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
002421 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376192435 | Gwendolyn D Smith | Home Health | 10526 Pace Ave, Los Angeles, CA 90002-3425 | 2019-09-10 |
| 1366007536 | Gwendolyn Marie Smith | Social Worker | 3535 Knight Ln Trlr 8, Lake Charles, LA 70605-1233 | 2019-05-03 |
| 1588956023 | Gwendolyn Smith | Registered Nurse | 4231 N 67th St, Milwaukee, WI 53216-1108 | 2011-05-03 |
| 1821168246 | Gwendolyn G. Smith | Social Worker | 4538 West Craig Road, Suite 290, Las Vegas, NV 89032 | 2006-11-09 |
| 1114574506 | Gwendolyn Yvonne Smith | Counselor | 316 Broadway, Seattle, WA 98122-5325 | 2019-08-21 |
| 1457869372 | Gwendolyn Smith | Behavioral Analyst | 11311 Business Center Dr Ste C, North Chesterfield, VA 23236-3199 | 2018-01-12 |
| 1396252342 | Gwendolyn Schulze Smith | Physical Therapist | 17355 Boones Ferry Rd Ste B, Lake Oswego, OR 97035-5225 | 2017-12-29 |
| 1124559158 | Gwendolyn Smith | Social Worker | 5420 Corporate Blvd Ste 308, Baton Rouge, LA 70808 | 2017-03-22 |
| 1710351754 | Gwendolyn Smith | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2015-11-13 |
| 1578864468 | Gwendolyn Diane Smith | Social Worker | 2350 W El Camino Real, Mountain View, CA 94040-6201 | 2010-11-08 |
| Street Address |
501 MIZE ST. |
| City | LAFAYETTE |
| State | GA |
| Zip Code | 30728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790782431 | Lookout Mountain Community Services | Clinic/Center | 501 Mize St., Lafayette, GA 30728 | 2005-07-07 |
| 1669591384 | Alice Sue Dial | Licensed Practical Nurse | 501 Mize St., Lafayette, GA 30728 | 2007-03-28 |
| 1942326996 | Janet Audrey Mccollough | Counselor | 501 Mize St., Lafayette, GA 30728 | 2007-03-21 |
| 1588788269 | Sue Copelan | Counselor | 501 Mize St., Lafayette, GA 30728 | 2007-03-19 |
| 1386716124 | Lookout Mountain Community Services | Community/Behavioral Health | 501 Mize St., Lafayette, GA 30728 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395620 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 8a Probasco Street Unit 214, Lafayette, GA 30728 | 2020-10-30 |
| 1891358750 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 311 North Main Street, Lafayette, GA 30728 | 2019-04-17 |
| 1023505914 | Heather Staton | Pharmacist | 324 W. Patton Street, Lafayette, GA 30728 | 2018-04-17 |
| 1023484805 | Tyler Kellum Levie | Dentist | 201 E. Villanow Street, Lafayette, GA 30728 | 2015-08-17 |
| 1083987481 | Krishawna Elaine Montgomery | Counselor | 501 Mize Street Lookout Mountain Community Services, Lafayette, GA 30728 | 2012-02-15 |
| 1346518198 | William Randall Smith | Behavioral Analyst | 902 Daugherty Street, Lafayette, GA 30728 | 2011-12-08 |
| 1821321506 | John H Rockwell | Contractor | 143 Golden Oaks Dr, La Fayette, GA 30728 | 2009-09-11 |
| 1619113057 | Lookout Mountain Community Services | Community/Behavioral Health | 43 Shady Court, Lafayette, GA 30728 | 2009-01-06 |
| 1326212705 | Lookout Mountain Community Services | Community/Behavioral Health | 1218 Chattanooga St., Lafayette, GA 30728 | 2008-04-17 |
| 1649444084 | Lookout Mountain Community Services | Community/Behavioral Health | 29 Mae Tucker Rd., Lafayette, GA 30728 | 2008-04-16 |
| Find all providers in zip 30728 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049926 | Lindsay Blair Charles | Counselor | 100 Saw Mill Rd Ste 3300, Lafayette, IN 47905-5598 | 2020-10-07 |
| 1346701711 | Lacie Chappuis | Counselor | 143 Ridgeway Dr Ste 303, Lafayette, LA 70503-3410 | 2019-03-28 |
| 1518427434 | Janice Weber | Counselor | 143 Ridgeway Dr Ste 201, Lafayette, LA 70503-3414 | 2019-03-25 |
| 1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
| 1770051005 | Kerri Prejean | Counselor | 850 Kaliste Saloom Rd Ste 218, Lafayette, LA 70508-4230 | 2018-11-05 |
| 1750884094 | Courtney Miller | Counselor | 3112 W Pinhook Rd Ste B, Lafayette, LA 70508-3443 | 2018-03-13 |
| 1962913970 | Heather Cook | Counselor | 400 E Simpson St Ste 104, Lafayette, CO 80026-2359 | 2017-10-17 |
| 1851801377 | Wanda Faye Ventress | Counselor | 130 Chappuis Dr, Lafayette, LA 70501-3656 | 2017-10-11 |
| 1376901272 | Elizabeth Baumer | Counselor | 93 Magnate Drive, Lafayette, LA 70508 | 2016-02-05 |
| 1497120927 | Veronicle Lorena Guillory | Counselor | 412 Timber Creek Dr, Lafayette, LA 70506-5055 | 2015-12-09 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.