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General NPI Number Information
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NPI Number | 1164710687
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Entity Type | Organization
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Legal Business Name | SMITH COUNSELING AND FAMILY SERVICES
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Dates
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Enumeration Date | 07/18/2011
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Last Update Date | 07/18/2011
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Provider Practice Location Address
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Address Line | 4175 MAPLEWOOD MEADOWS AVE
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City | GRAND BLANC
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State | MI
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Zip | 48439-3501
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Country | US
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Telephone | 810-869-0874
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Fax |
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Provider Business Mailing Address
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Address Line | 4175 MAPLEWOOD MEADOWS AVE
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City | GRAND BLANC
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State | MI
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Zip | 48439-3501
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MRS. REBECCA L SMITH
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Credential | LLPC
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Telephone | 810-869-0874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 6802075457
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | MI
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