Provider Demographics
NPI:1710520911
Name:SMITH COUNSELING LLC
Entity Type:Organization
Organization Name:SMITH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-502-7141
Mailing Address - Street 1:PO BOX 851036
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-6136
Mailing Address - Country:US
Mailing Address - Phone:734-502-7141
Mailing Address - Fax:734-853-5334
Practice Address - Street 1:19500 MIDDLEBELT RD STE 342W
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-2196
Practice Address - Country:US
Practice Address - Phone:734-502-7141
Practice Address - Fax:734-853-5334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-21
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6801086701OtherSTATE OF MICHIGAN MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS