Healthcare Provider Details

I. General information

NPI: 1982063889
Provider Name (Legal Business Name): DBT INSTITUTE OF MI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2016
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 W HOWELL RD
MASON MI
48854-9329
US

IV. Provider business mailing address

2950 W HOWELL RD
MASON MI
48854-9329
US

V. Phone/Fax

Practice location:
  • Phone: 517-367-0670
  • Fax:
Mailing address:
  • Phone: 517-367-0670
  • Fax: 517-367-0681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801086450
License Number StateMI
# 5
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA M SMITH
Title or Position: OWNER / AUTHORIZED OFFICIAL
Credential: LMSW
Phone: 517-367-0670