Provider Demographics
NPI:1821538299
Name:SMITH, LAURA LEE (LPC)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:LEE
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:LAURA
Other - Middle Name:LEE
Other - Last Name:BINDAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4525 CHAPMAN LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45503-7414
Mailing Address - Country:US
Mailing Address - Phone:469-223-5834
Mailing Address - Fax:
Practice Address - Street 1:1349 E STROOP RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45429-4925
Practice Address - Country:US
Practice Address - Phone:469-223-5834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC1500744101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor