person
Wiley Livingston Smith, LCMHCA
Professional Counselor in Winston Salem, North Carolina
NPI 1245888676

Wiley Livingston Smith is a Professional Counselor based in Winston Salem, NC and is specialized in Professional. Wiley Livingston Smith practices in Winston Salem, NC and has the professional credentials of LCMHCA. The NPI Number for Wiley Livingston Smith is 1245888676 and holds a License No. (North Carolina).

The current practice location address for Wiley Livingston Smith is 403 South Hawthorne Road, Winston Salem, NC and can be reached out via phone at 336-716-0855.

Location: 403 South Hawthorne Road, Winston Salem, NC, 27104-4225
person
Provider Profile Details
NPI Number
1245888676
Provider Name
Wiley Livingston Smith
Credential
LCMHCA
Provider Entity Type
Individual
Gender
Male
Address
403 South Hawthorne Road, Winston Salem, NC, 27104-4225
Phone Number
336-716-0855
Fax Number
Provider Enumeration Date
08/28/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
403 South Hawthorne Road
City
State
Zip
27157-5008
Phone Number
336-716-0855
Fax Number
person
Provider Business Mailing Address Details
Address
403 South Hawthorne Road
City
State
Zip
27157-5008
Phone Number
336-716-0855
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
A17670 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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