Mr. Kenneth Leroy Smith Sr., LPC014651
Mr. Kenneth Leroy Smith Sr., LPC014651 is a Mental Health Counselor in Rome, Georgia. Qualified in 2019, 7 years ago. Practices with Lifesource of North Carolina, a 170-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 7
- Licensed in
- GA
- In the registry since
- 2024
Practice location Address checks out
332 Hasty Rd NERome, GA 30161-7795
Phone: (762) 357-4921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LPC14651 (GA) |
|---|
Record details
| NPI number | 1437905221 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPC014651 |
| Sole proprietor | Yes |
| NPI enumerated | April 24, 2024 |
| Last updated in NPPES | June 16, 2024 |
| Certification date | June 16, 2024 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Lifesource Of North Carolina — 170 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Rome
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Mauricia Anitra Pledger
215 Robin Hood Rd NE, Rome, GA 30161-5853 · (706) 936-5135
-
Mrs. Carole Ann Raspotnik, MA
106 E 5th Ave Ste B, Rome, GA 30161-3128 · (706) 509-0130
-
Mrs. Rebecca P Saye
6 Mathis Dr NW, Rome, GA 30165-1242 · (706) 233-9023
-
Kathy Sinclair
6 Mathis Dr NW, Rome, GA 30165-1242 · (706) 233-9023
-
Mrs. Rebecca Gillham Stanchfield, LPC
5 Wayne St SW, Rome, GA 30165-4149 · (770) 569-7305
-
The Haven Support Services LLC
512 Riverside Pkwy NE Ste 701, Rome, GA 30161-2910 · (706) 266-0756
-
Greta Willoughby, LPC
18 Ridge Dr SW, Rome, GA 30165-3551 · (706) 506-1079