MEDICARE: SHARI L. SMITH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	6401013817	MI

General Provider Information

NPI Number	:	1942629225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARI L. SMITH PLLC

Provider Business Mailing Address
First Line	:	1111 PINE GROVE AVE
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-3565
Country	:	US
Telephone Number	:	810-434-1400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 PINE GROVE AVE
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-3565
Country	:	US
Telephone Number	:	810-434-1400
Fax Number	:

Authorized Official
Title or Position	:	OWNER, LPC
Name	:	SHARI L SMTIH
Credential	:	MA, LPC, NCC
Telephone Number	:	810-434-1400

Provider Enumeration Date	:	04/15/2014
Last Update Date	:	01/16/2024

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