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General NPI Number Information
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NPI Number | 1710520911
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Entity Type | Organization
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Legal Business Name | SMITH COUNSELING LLC
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Dates
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Enumeration Date | 10/21/2019
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 19500 MIDDLEBELT RD STE 342W
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City | LIVONIA
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State | MI
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Zip | 48152-2196
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Country | US
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Telephone | 734-502-7141
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Fax | 734-853-5334
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Provider Business Mailing Address
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Address Line | PO BOX 851036
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City | WESTLAND
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State | MI
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Zip | 48185-6136
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Country | US
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Telephone | 734-502-7141
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Fax | 734-853-5334
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | ELIZABETH J SMITH
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Credential | LMSW
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Telephone | 734-502-7141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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