Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAYNELL SMITH
Active Sole ProprietorSHAYNELL SMITH is a Mental Health Clinic healthcare provider located in LAGRANGE, Georgia. NPI 1609422104 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · LAGRANGE, GA
Registration Details
- NPI Number
- 1609422104
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 12, 2019 (6.9644295498495 yrs)
- Last Updated
- Aug 12, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
122 GORDON COMMERCIAL DR STE CLAGRANGE, GA, 302405754Browse GA providers · Browse ZIP 30240
- Phone
- 7068454045
- Primary Specialty
-
Mental Health Clinic
261QM0801X
Other Mental Health Clinic Providers in LAGRANGE, GA
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH FOWLER | — | 1891290177 |
| MR. DARRELL L MCMULLEN SR. | CASE MANAGER | 1851896161 |
| DOROTHY LAKEIA JOHNSON | — | 1013562073 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.