Ayesha Smith
Counselor in Georgetown, SC. Individual provider (NPI-1).
NPI number1952180770
StatusActive
Last updated in NPPESSep 22, 2023
Details
- NPI
- 1952180770
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ayesha Smith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 22, 2023
- Certification date
- Sep 22, 2023
- Last updated
- Sep 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 4080 | – | Yes |
Practice location
102 S Merriman RdGeorgetown, SC 29440-3459
Phone 843-325-4548
Mailing address
158 Crane DrPawleys Island, SC 29585-8451
Phone 843-325-4548
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