Individual provider · Type 1 NPI

Wiley Livingston Smith, LCMHC

Professional Counselor · Winston Salem, NC

NPI number 1245888676 Active

Practice location

403 South Hawthorne Road
Winston Salem, NC 27157-5008

Mailing address

2000 W 1st St Ste 410
Winston Salem, NC 27104-4225

Other practice locations

  • 336 Deerfield Rd, Boone, NC 28607-5008 · (828) 262-4100
  • 813 Rivers St, Boone, NC 28608-0001 · (828) 262-3020

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Professional Counselor Primary 101YP2500X17670 (NC)

Professional Counselor: Definition to come...

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About NPI 1245888676

Wiley Livingston Smith, LCMHC's National Provider Identifier is 1245888676, issued on Aug 28, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Winston Salem, NC. The record was last updated on May 14, 2026.