Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Marcus Lacey Smith

Individual provider Mental Health Counselor · NPI 1083378764

Mr. Marcus Lacey Smith is a Mental Health Counselor in Syracuse, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

1106 E Genesee St
Syracuse, NY 13210-1901
Phone: (315) 391-8482
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 103 Wilson Pl, Syracuse, NY 13214-1924 — (315) 391-8482

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 005367 (NY)

Record details

NPI number1083378764
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 28, 2021
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021
Mailing address1106 E Genesee St, Syracuse, NY 13210-1901

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