Scott A Smith, MA LPC | |
1050 Silver Dr, Traverse City, MI 49684-5749 | |
(231) 947-2255 | |
(231) 947-5982 |
Full Name | Scott A Smith |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1050 Silver Dr, Traverse City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194753079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178-004371 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 6401012390 (Michigan) | Primary |
Entity Name | Pine Rest Christian Mental Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780695411 PECOS PAC ID: 4981506508 Enrollment ID: O20040213000149 |
Mailing Address | Practice Location Address |
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Scott A Smith, MA LPC 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 | Scott A Smith, MA LPC 1050 Silver Dr, Traverse City, MI 49684-5749 Ph: (231) 947-2255 |
Kimberly Manrique, M.S, L.P.C., A.T.R Counselor Medicare: Not Enrolled in Medicare Practice Location: 5798 Deer Trail Dr, Traverse City, MI 49684 Phone: 231-709-3177 | |
Joy Davies, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3032 Parterre Pl, Traverse City, MI 49684 Phone: 248-798-3229 | |
Ms. Angela Lynn Merriman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1844 Oak Hollow Dr Ste B, Traverse City, MI 49686 Phone: 231-714-0282 | |
Deanne R Briggs, LPC, CAC III Counselor Medicare: Medicare Enrolled Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-6380 Fax: 231-935-6920 | |
Mrs. Emily Knapp, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7150 Lake Leelanau Dr, Traverse City, MI 49684 Phone: 231-649-2126 | |
Terry Gorton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 E 8th St, Traverse City, MI 49684 Phone: 231-346-5221 Fax: 231-922-2095 | |
Jeanette Fay Peltola, PLC,MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 968 Harbor Ct, Traverse City, MI 49685 Phone: 231-632-1370 |