| Mrs Gail Smith, M ED, LPC | |
|
200 Ridge Medical Plaza Rd, Edgefield, SC 29824-4530 | |
| (803) 637-5788 | |
| (803) 637-0753 |
| Full Name | Mrs Gail Smith |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 200 Ridge Medical Plaza Rd, Edgefield, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033281498 | NPI | - | NPPES |
| 421504 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 9758 (South Carolina) | Primary |
| Entity Name | Mental Health Specialty Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240926003314 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Gail Smith, M ED, LPC 1547 Parkway, Suite 100, Greenwood, SC 29646-4081 Ph: (864) 229-7120 | Mrs Gail Smith, M ED, LPC 200 Ridge Medical Plaza Rd, Edgefield, SC 29824-4530 Ph: (803) 637-5788 |
Ms. Carole Ann Chidley, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Simpkins St, Edgefield, SC 29824 Phone: 803-637-5788 Fax: 803-637-0753 | |
Ms. Myrdis Y. Sheppard, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Simpkins St, Edgefield, SC 29824 Phone: 803-637-5338 Fax: 803-637-0753 | |
Latasha Broomfield, MA, LPC, NCC, CACI Counselor Medicare: Medicare Enrolled Practice Location: 409 Simpkins St, Edgefield, SC 29824 Phone: 803-637-5788 | |
Ms. Winifred Jean Eubanks, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Simpkins St, Edgefield, SC 29824 Phone: 803-637-5788 | |
Mrs. Cheryl H Lindler, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Simpkins St, Edgefield, SC 29824 Phone: 803-637-5788 Fax: 803-637-0753 | |
Ms. Sherry Leigh Paschal, CPSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Simpkins St, Edgefield, SC 29824 Phone: 803-637-7588 |