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

MS. Elizabeth Diane Smith, MACMHCLAPC

Individual provider Professional Counselor · NPI 1801612171

MS. Elizabeth Diane Smith, MACMHCLAPC is a Mental Health Counselor in Lawrenceville, Georgia. Qualified in 2020, 6 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2024
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Practice location Address checks out

175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Phone: (678) 209-2394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1345 Redmond Cir Nw, Rome, GA 30165-1307 — (910) 742-9243

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 009225 (GA)

Record details

NPI number1801612171
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACMHCLAPC
Sole proprietorNo
NPI enumeratedDecember 2, 2024
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lawrenceville