Provider Demographics
NPI:1821182528
Name:SMITH, VALERIE BLACKBURN (MA, LPC, NCC, AAPC)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:BLACKBURN
Last Name:SMITH
Suffix:
Gender:F
Credentials:MA, LPC, NCC, AAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 240
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:NC
Mailing Address - Zip Code:28758-0240
Mailing Address - Country:US
Mailing Address - Phone:828-698-4840
Mailing Address - Fax:828-698-4840
Practice Address - Street 1:244 5TH AVE W
Practice Address - Street 2:SUITE 104
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4302
Practice Address - Country:US
Practice Address - Phone:828-698-4840
Practice Address - Fax:828-698-4840
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2015101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC11060OtherBLUECROSSBLUESHIELD
NC2072840OtherCIGNA BEHAVIORAL HEALTH
NC6102828Medicaid