Provider Demographics
NPI:1962644740
Name:SMITH, EVE LOUISE (LPC, LCDCIII)
Entity Type:Individual
Prefix:MS
First Name:EVE
Middle Name:LOUISE
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC, LCDCIII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10771 MAYFIELD RD.
Mailing Address - Street 2:
Mailing Address - City:CHARDON
Mailing Address - State:OH
Mailing Address - Zip Code:44024
Mailing Address - Country:US
Mailing Address - Phone:440-285-3537
Mailing Address - Fax:440-285-4909
Practice Address - Street 1:10771 MAYFIELD RD
Practice Address - Street 2:
Practice Address - City:CHARDON
Practice Address - State:OH
Practice Address - Zip Code:44024-9323
Practice Address - Country:US
Practice Address - Phone:440-285-3537
Practice Address - Fax:440-285-4909
Is Sole Proprietor?:No
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH991841101YA0400X
OHC06616101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)