Adam Smith, LMHC
Counselor, Mental Health in South Bend, IN. Individual provider (NPI-1).
NPI number1174190847
StatusActive
Last updated in NPPESNov 30, 2023
Details
- NPI
- 1174190847
- Entity type
- Individual (NPI-1)
- Name
- Adam Smith
- Credential
- LMHC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2021
- Certification date
- Nov 30, 2023
- Last updated
- Nov 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 39003948A | IN | Yes |
Practice location
1400 E Angela Blvd Unit 111cSouth Bend, IN 46617-1367
Phone 574-366-2391
Mailing address
1400 E Angela BlvdBox 162
South Bend, IN 46617-1364
Phone 574-366-2391
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