Provider Demographics
NPI:1043349038
Name:SMITH, KAREN ECKERT (LPC, LPCC, CAADC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ECKERT
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC, LPCC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 S ROCHESTER RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-2762
Mailing Address - Country:US
Mailing Address - Phone:248-434-8227
Mailing Address - Fax:
Practice Address - Street 1:945 S ROCHESTER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-2762
Practice Address - Country:US
Practice Address - Phone:248-434-8227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007801101YM0800X
NM0107681101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1883825Medicaid