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NPI Code Detail

MEDICARE: MEGAN ANN SMITH MA, LPC, DP-S, CAADC

MEDICARE: MEGAN ANN SMITH MA, LPC, DP-S, CAADC
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
1101YP2500XProfessional Counselor6401222642MI
2101YA0400XAddiction (Substance Use Disorder) CounselorC-03910MI
3101Y00000XCounselor6401222642MI

General Provider Information

NPI Number : 1275024200
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN ANN SMITH MA, LPC, DP-S, CAADC
Provider Business Mailing Address
First Line : 443 N STATE ST
Second Line :
City : CARO
State : MI
Zip : 48723-1539
Country : US
Telephone Number : 989-673-5700
Fax Number :
Provider Business Practice Location Address
First Line : 126 WASHINGTON AVE
Second Line :
City : BAY CITY
State : MI
Zip : 48708-5846
Country : US
Telephone Number : 989-684-7977
Fax Number : 989-684-4331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2018
Last Update Date : 06/19/2026

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