ETTA SMITH (NPI# 1023488582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023488582 |
| Entity Type | Individual |
| Full Name | ETTA SMITH |
| Credential | MAC |
| Practice Address |
2470 Mall Dr Unit Cd North Charleston SC 29406 |
| Mailing Address |
1400 Cleveland St Greenville SC 29607-2410 |
| Practice Telephone | 8432074721 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2018-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
2470 MALL DR UNIT CD |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010833 | Alexa Kramer | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406-6514 | 2020-10-14 |
| 1659903482 | Sarah Calhoun | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406-6514 | 2020-02-10 |
| 1588215305 | Colleen Marie Walker | Licensed Practical Nurse | 2470 Mall Dr Unit Cd, North Charleston, SC 29406-6514 | 2019-09-23 |
| 1033675822 | Jori Grace Bowen | Licensed Practical Nurse | 2470 Mall Dr Unit Cd, North Charleston, SC 29406-6514 | 2019-02-16 |
| 1174018378 | Susan Camberlyn Reep | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406-6514 | 2018-06-29 |
| 1417444191 | Courtney Bowman | Licensed Practical Nurse | 2470 Mall Dr Unit Cd, North Charleston, SC 29406-6514 | 2018-04-18 |
| 1023521903 | Brooke Church | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406-6514 | 2017-11-14 |
| 1790298685 | Solomon Addison | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406-6514 | 2017-11-14 |
| 1184137077 | Jessica Correa | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406-6514 | 2017-11-14 |
| 1235642109 | Amy Garner | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406-6514 | 2017-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1801285036 | Roper Saint Francis Physicians Network | Obstetrics & Gynecology | 8950 University Blvd, Suite 150, North Charleston, SC 29406 | 2015-01-12 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700372059 | Caroline Margaret Vinson | Counselor | 2470 Mall Dr Unit C&d, North Charleston, SC 29406-6514 | 2018-07-10 |
| 1366793283 | Deidre Mosspinkney | Counselor | 2810 Ashley Phosphate Rd Ste B8, North Charleston, SC 29418-6406 | 2012-10-02 |
| 1477751170 | Donna Kingsbury | Counselor | 7455 Cross County Rd Ste 6, North Charleston, SC 29418 | 2007-07-05 |
| 1407977788 | Randy Santana | Counselor | 5269 Rivers Ave, North Charleston, SC 29406-6311 | 2007-04-03 |
| 1992323174 | Michael Terry Chester | Counselor | 2470 Mall Dr, North Charleston, SC 29406-6514 | 2020-07-14 |
| 1679123384 | Mccrae Paxton Carroll | Counselor | 2470 Mall Dr Ste C, North Charleston, SC 29406-6514 | 2019-09-14 |
| 1124584388 | Emily Grimes | Counselor | 2470 Mall Dr, North Charleston, SC 29406-6514 | 2019-02-13 |
| 1174018378 | Susan Camberlyn Reep | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406-6514 | 2018-06-29 |
| 1023521903 | Brooke Church | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406-6514 | 2017-11-14 |
| 1790298685 | Solomon Addison | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406-6514 | 2017-11-14 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
Please comment or provide details below to improve the information on ETTA SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.