Provider Demographics
NPI:1538545793
Name:SMITH, ERIN LOUISE (MED, LPC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:LOUISE
Last Name:SMITH
Suffix:
Gender:F
Credentials:MED, LPC
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 149
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38256-0149
Mailing Address - Country:US
Mailing Address - Phone:817-541-7136
Mailing Address - Fax:
Practice Address - Street 1:8780 HIGHWAY 69 S
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:TN
Practice Address - Zip Code:38256-5409
Practice Address - Country:US
Practice Address - Phone:817-541-7136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71467101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional