Provider Demographics
NPI:1225728777
Name:SMITH-LEES, MARLEY (LCPC-C)
Entity Type:Individual
Prefix:
First Name:MARLEY
Middle Name:
Last Name:SMITH-LEES
Suffix:
Gender:F
Credentials:LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:687 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:ORRINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04474-3652
Mailing Address - Country:US
Mailing Address - Phone:207-215-4335
Mailing Address - Fax:
Practice Address - Street 1:305 CENTER DR
Practice Address - Street 2:
Practice Address - City:ORRINGTON
Practice Address - State:ME
Practice Address - Zip Code:04474-3426
Practice Address - Country:US
Practice Address - Phone:207-215-4335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL6819101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health