Provider Demographics
NPI:1225744212
Name:SMITH-KORSAH, LENIA MARIA (LMHP-R)
Entity Type:Individual
Prefix:MRS
First Name:LENIA
Middle Name:MARIA
Last Name:SMITH-KORSAH
Suffix:
Gender:F
Credentials:LMHP-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 AMERICAN WAY APT 437
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-4533
Mailing Address - Country:US
Mailing Address - Phone:951-847-8316
Mailing Address - Fax:
Practice Address - Street 1:5384 BEDFORD TER UNIT A
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-1667
Practice Address - Country:US
Practice Address - Phone:951-847-8316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704009366101YM0800X, 101YP2500X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist