Smith, Gina M

Smith, Gina M is an individual health care provider with primary practice located at 6570 Sosna Dr , Fairfield OH 45014-2222. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Smith, Gina M can be contacted via phone (513) 942-4673.

Contact Information

Primary practice address
6570 Sosna Dr Fairfield OH 45014-2222
Phone: (513) 942-4673
Fax: (513) 737-1107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 090627 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.0500056 SUPV Ohio

Profile Details

NPI number 1538478052
LBN Legal business name Smith, Gina M
Credentials LPCC-SUPV
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2010
Last updated May 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538478052 NPPES
Ohio Other 090627 CDCA
Ohio Other E.0500056 SUPV CDCA

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