Provider Demographics
NPI:1982256079
Name:WHITNEY SMITH CHRISTIAN COUNSELING & CONSULTING, PLLC
Entity Type:Organization
Organization Name:WHITNEY SMITH CHRISTIAN COUNSELING & CONSULTING, PLLC
Other - Org Name:WHITNEY SMITH, LPC, PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:BLACKWELL
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC, LPC
Authorized Official - Phone:336-777-3615
Mailing Address - Street 1:3615 ROCKFORD ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:NC
Mailing Address - Zip Code:27030-7847
Mailing Address - Country:US
Mailing Address - Phone:336-777-3615
Mailing Address - Fax:
Practice Address - Street 1:3615 ROCKFORD ST
Practice Address - Street 2:
Practice Address - City:MOUNT AIRY
Practice Address - State:NC
Practice Address - Zip Code:27030-7847
Practice Address - Country:US
Practice Address - Phone:336-777-3615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-10
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty