MICHAEL SCOTT SMITH (NPI# 1700304904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700304904 |
| Entity Type | Individual |
| Full Name | MICHAEL SCOTT SMITH |
| Credential | LPC |
| Practice Address |
610 Ridley Ave Lagrange GA 30240-2236 |
| Practice Telephone | (706) 884-5050 |
| Mailing Telephone | 7068845050 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC009754 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200012 | Michael Smith | Physical Therapy Assistant | 3690 Orange Pl Ste 250, Beachwood, OH 44122-4438 | 2020-09-22 |
| 1700499712 | Michael Martin Smith | Social Worker | 1020 Simonds Rd, Williamstown, MA 01267-2102 | 2020-08-28 |
| 1811509466 | Michael Browning Smith | Acupuncturist | 2039 Regency Rd Ste 3, Lexington, KY 40503-2334 | 2020-08-17 |
| 1942862941 | Michael B Smith | Counselor | 260 Chapman Rd Ste 103, Newark, DE 19702-5410 | 2019-07-01 |
| 1003370818 | Michael Jaleon Smith | Case Manager/Care Coordinator | 14206 Long Meadow Dr, Houston, TX 77047-4597 | 2019-01-25 |
| 1699255877 | Michael R Smith | Naturopath | 23501 W Clark St, Plainfield, IL 60586-2321 | 2018-08-17 |
| 1750869384 | Michael Smith | Counselor | 4636 E 175th St, Cleveland, OH 44128-3930 | 2018-08-06 |
| 1730671207 | Michael Carl Smith | Assisted Living Facility | 5736 N 33rd Ave, Phoenix, AZ 85017 | 2018-05-31 |
| 1851800874 | Michael Smith | Physician Assistant | 11 South Osceola Ave, Apt 3102, Orlando, FL 32801 | 2017-09-21 |
| 1457878118 | Michael Smith | Physical Therapist | 3524 Kaliste Saloom Rd Ste 205, Lafayette, LA 70508-7638 | 2017-08-24 |
| Street Address |
610 RIDLEY AVE |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-2236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194950857 | Shannon K. Dunlap | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2009-05-26 |
| 1700401536 | Angela Montondo | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2020-06-08 |
| 1154944601 | Leona Lin Bleich | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2020-05-19 |
| 1609348366 | Heike Barnett | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2018-12-19 |
| 1588136394 | Tracey Tenney | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2018-12-19 |
| 1730650763 | Holle Leath | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2018-12-17 |
| 1154802551 | Annie Davis | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2018-08-23 |
| 1659776912 | Kim L Neese | Counselor | 610 Ridley Ave, Counseling Services, Inc., Lagrange, GA 30240-2236 | 2014-10-29 |
| 1790197804 | Counseling Services of Lagrange, Inc. | Psychologist | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2014-05-22 |
| 1720417140 | Kelly J Veal | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2013-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499706 | Vibe Healing Center, LLC | Counselor | 137b Commerce Ave # 188, Lagrange, GA 30241-2337 | 2020-05-22 |
| 1871116459 | Samantha Thomaston | Counselor | 111 Holleys Grove Dr, Lagrange, GA 30240-7761 | 2020-05-18 |
| 1750834024 | Lashannon Patrice Epps | Counselor | 1111 Mooty Bridge Rd Ste A, Lagrange, GA 30240-1742 | 2016-08-03 |
| 1659784833 | Valerie Kuecker Cleveland | Counselor | 122 Gordon Commercial Dr Ste D, Lagrange, GA 30240-5754 | 2014-06-05 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1356638639 | Deborah Jenkins | Counselor | 62 Tyler St, Lagrange, GA 30240-8837 | 2011-07-07 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1609036524 | Jimmy Dawson Mccamey Jr. | Counselor | 419 Ridley Ave, Lagrange, GA 30240-2231 | 2008-06-13 |
| 1952498644 | Kenneth Sheppard Hoats | Counselor | 1507 Vernon Rd, Lagrange, GA 30240-4146 | 2006-10-06 |
| 1700401536 | Angela Montondo | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2020-06-08 |
| Find all providers in LAGRANGE | ||||
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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.