Provider Demographics
NPI:1356793574
Name:SMITH, ERIN L (LPCA)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:L
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 RINGGOLD RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-3900
Mailing Address - Country:US
Mailing Address - Phone:859-552-5942
Mailing Address - Fax:
Practice Address - Street 1:548 HINTON SADIEVILLE RD
Practice Address - Street 2:
Practice Address - City:SADIEVILLE
Practice Address - State:KY
Practice Address - Zip Code:40370-9717
Practice Address - Country:US
Practice Address - Phone:859-552-5942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-12
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY167230101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)