Provider Demographics
NPI:1336032903
Name:SMITH, DAINA ADELE (LPC-A)
Entity type:Individual
Prefix:
First Name:DAINA
Middle Name:ADELE
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 WILLIAMSBURG DR # NA
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-5676
Mailing Address - Country:US
Mailing Address - Phone:402-750-1559
Mailing Address - Fax:402-750-1559
Practice Address - Street 1:160 QUARRY RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-4101
Practice Address - Country:US
Practice Address - Phone:866-458-0984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10401101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional