| Misty L Smith Lpc Caadc Ccs | |
|
4384 Snow Ridge Rd Elmira MI 49730-8747 | |
| (989) 400-6520 | |
| Not Available |
| Full Name | Misty L Smith Lpc Caadc Ccs |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4384 Snow Ridge Rd, Elmira, Michigan |
| Authorized Official Name and Position | Misty Lynne Smith (OWNER) |
| Authorized Official Contact | 9894006520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Misty L Smith Lpc Caadc Ccs 4384 Snow Ridge Rd Elmira MI 49730-8747 Ph: (989) 400-6520 | Misty L Smith Lpc Caadc Ccs 4384 Snow Ridge Rd Elmira MI 49730-8747 Ph: (989) 400-6520 |
| NPI Number | 1205612876 |
|---|---|
| Provider Enumeration Date | 09/07/2023 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205612876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |