Olivia Henderson Smith
Counselor, Addiction (Substance Use Disorder) in Winston Salem, NC. Individual provider (NPI-1).
NPI number1831721968
StatusActive
Last updated in NPPESFeb 6, 2020
Details
- NPI
- 1831721968
- Entity type
- Individual (NPI-1)
- Name
- Olivia Henderson Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2020
- Certification date
- Feb 6, 2020
- Last updated
- Feb 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 22315 | NC | Yes |
| 101YP2500X | Counselor, Professional | 13044 | NC |
Practice location
1 Medical Center Blvd 5th Floor Watlington HallWinston Salem, NC 27157-0001
Phone 336-716-1439
Mailing address
1 Medical Center BlvdWinston Salem, NC 27157-0001
Phone 336-716-1439
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