Healthcare Provider Details

I. General information

NPI: 1912769886
Provider Name (Legal Business Name): SMITH HOLISTIC CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2024
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 RAZORBACK DR STE 5
HOUGHTON MI
49931-2802
US

IV. Provider business mailing address

23276 SKANEE ROAD
SKANEE MI
49962-9040
US

V. Phone/Fax

Practice location:
  • Phone: 906-524-4006
  • Fax: 833-740-3401
Mailing address:
  • Phone: 906-231-0369
  • Fax: 833-740-3401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMIE LYNN SMITH
Title or Position: OWNER
Credential: L.AC., NBC-HWC, LMT
Phone: 906-301-0046