BRENDA MCGILLIVRAY SMITH LPC LMFT NPI 1750345310

NPI Information

NPI: 1750345310
Provider Name: BRENDA MCGILLIVRAY SMITH, LPC LMFT
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
250 OLD MILL LN
BROADWAY, VA
ZIP 22815
Phone: (540) 901-9000
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Brenda Mcgillivray Smith, LPC LMFT is a professional counselor in Broadway, VA. Brenda Mcgillivray Smith, LPC LMFT NPI is 1750345310. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

250 OLD MILL LN
BROADWAY, VA
ZIP 22815-754
Phone: (540) 901-9000
Fax: (540) 901-9000

The enumeration date for this NPI number is 4/12/2006 and was last updated on 9/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		0717000424	VIRGINIA	No
2	101YP2500X	Counselor	Professional	0701002606	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	005408806	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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