Provider Demographics
NPI:1003603275
Name:SMITH, MARGIE SUZANNE (LPC)
Entity type:Individual
Prefix:
First Name:MARGIE
Middle Name:SUZANNE
Last Name:SMITH
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:111 GREEN ST SE UNIT 304
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3886
Mailing Address - Country:US
Mailing Address - Phone:678-989-9929
Mailing Address - Fax:
Practice Address - Street 1:621 WASHINGTON ST SW STE A2
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-8567
Practice Address - Country:US
Practice Address - Phone:770-287-1356
Practice Address - Fax:770-287-1352
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GALPC015653101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional