Constance Sally Smith, LADC, LPCC

Professional Counselor · Eagan, MN

Individual Active NPI

NPI number 1063703221

Practice location

1230 Eagan Industrial Rd
Suite 100
Eagan, MN 55121-1264
Phone
(612) 454-2243
Fax
(651) 454-2972

Open in Google Maps

NPI record

NPI
1063703221
Entity type
Individual (Type 1)
Enumeration date
April 22, 2011
Last updated
May 27, 2026
Certified
May 27, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Professional Counselor Primary 101YP2500X — —
Addiction (Substance Use Disorder) Counselor 101YA0400X 302730 MN

Mailing address

5515 45TH Ave S
Minneapolis, MN 55417-2336
Phone
(605) 728-7343

About Constance Smith

Constance Sally Smith, LADC, LPCC is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 1230 Eagan Industrial Rd, Suite 100, Eagan, MN 55121-1264. The NPI number 1063703221 was assigned on April 22, 2011 and the record was last updated on May 27, 2026.

Constance Smith lists a license in the registry: #302730 (MN) for Addiction (Substance Use Disorder) Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Constance Sally Smith, LADC, LPCC?

The NPI number is 1063703221.

What is the phone number of Constance Smith?

The phone number listed for the practice location is (612) 454-2243.

Where is Constance Smith located?

1230 Eagan Industrial Rd, Suite 100, Eagan, MN 55121-1264.

What is the taxonomy code for Constance Smith?

The primary taxonomy code is 101YP2500X – Professional Counselor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Professional Counselor providers in Eagan

All Professional Counselor providers in Eagan, MN →