Provider Demographics
NPI:1205233392
Name:SMITH, BRITTNEE
Entity type:Individual
Prefix:
First Name:BRITTNEE
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6145 FARRINGTON CT APT 5
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-1649
Mailing Address - Country:US
Mailing Address - Phone:307-679-5868
Mailing Address - Fax:
Practice Address - Street 1:6145 FARRINGTON CT APT 5
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-1649
Practice Address - Country:US
Practice Address - Phone:307-679-5868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-04
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401019760101Y00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCLPC.8003PCOtherSC LPC LICENSE
OHE.2102572OtherOH LPCC LICENSE
COLPC.0014904OtherCO STATE LICENSURE
IL180013930OtherIL LCPC LICENSE
NY11829OtherNY MHC LICENSE
NC16610OtherNC LCMHC
FLTPMC1189OtherFL TELEHEALTH PROVIDER
IN39004098AOtherIN MHC LICENSURE
MI6401019760OtherMI LPC LICENSE
COLPC.0014904OtherCOLORADO LPC LICENSE
OHLPC.0014904OtherOH STATE LICENSE