Provider Demographics
NPI:1780498998
Name:SMOTHERS, COLE EDWARD
Entity type:Individual
Prefix:
First Name:COLE
Middle Name:EDWARD
Last Name:SMOTHERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:COLE
Other - Middle Name:EDWARD DOYLE
Other - Last Name:SMOTHERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:69 STAR FLOWER RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER
Mailing Address - State:NC
Mailing Address - Zip Code:28701-7300
Mailing Address - Country:US
Mailing Address - Phone:607-725-0738
Mailing Address - Fax:
Practice Address - Street 1:69 STAR FLOWER RD
Practice Address - Street 2:
Practice Address - City:ALEXANDER
Practice Address - State:NC
Practice Address - Zip Code:28701-7300
Practice Address - Country:US
Practice Address - Phone:607-725-0738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician