Provider Demographics
NPI:1508933391
Name:SMITH, RITA P (LPC)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:P
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 WILLIAMS CT APT 910
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-3928
Mailing Address - Country:US
Mailing Address - Phone:410-292-7739
Mailing Address - Fax:
Practice Address - Street 1:1701 WILLIAMS CT APT 910
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-3928
Practice Address - Country:US
Practice Address - Phone:410-292-7739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006779101YP2500X
MDLC0480101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional