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NPI Code Detail

MEDICARE: CAREN K SMITH MA, LLP

MEDICARE: CAREN K SMITH MA, LLP
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
1101YM0800XMental Health Counselor6301012104MI

General Provider Information

NPI Number : 1275809949
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAREN K SMITH MA, LLP
Provider Business Mailing Address
First Line : 2075 W BIG BEAVER RD STE 520
Second Line :
City : TROY
State : MI
Zip : 48084-3442
Country : US
Telephone Number : 248-646-6659
Fax Number :
Provider Business Practice Location Address
First Line : 2075 W BIG BEAVER RD STE 520
Second Line :
City : TROY
State : MI
Zip : 48084-3442
Country : US
Telephone Number : 248-646-6659
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2012
Last Update Date : 03/28/2012

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Directions to “ CAREN K SMITH MA, LLP” Practice Location

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