Provider Demographics
NPI:1225572209
Name:SMITH, CHRISTEN ELIZABETH (LCMHC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTEN
Middle Name:ELIZABETH
Last Name:SMITH
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:MS
Other - First Name:CHRISTEN
Other - Middle Name:ELIZABETH
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCA
Mailing Address - Street 1:4030 WAKE FOREST RD STE 349
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-0010
Mailing Address - Country:US
Mailing Address - Phone:919-283-8824
Mailing Address - Fax:
Practice Address - Street 1:228 W MILLBROOK RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4304
Practice Address - Country:US
Practice Address - Phone:919-283-8824
Practice Address - Fax:984-200-7884
Is Sole Proprietor?:No
Enumeration Date:2016-12-12
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12383101YM0800X
NC12383101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health