Individual provider · Type 1 NPI

Tanya Lake-Smith

Mental Health Counselor · Mcdonough, GA

NPI number 1356208284 Active

Practice location

4109 Enisa Way
Mcdonough, GA 30253-4337

Call (678) 886-3984 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1356208284

Tanya Lake-Smith's National Provider Identifier is 1356208284, issued on Jan 5, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mcdonough, GA. The record was last updated on Jan 5, 2026.