Smith, Edith Rena
Smith, Edith Rena is an sole proprietor health care provider with primary practice located at 1121 E Mcnichols Rd , Detroit MI 48203-2857. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Smith, Edith Rena can be contacted via phone (313) 365-3100.Contact Information
Primary practice address
1121 E Mcnichols Rd
Detroit MI 48203-2857
Phone: (313) 365-3100
Fax: (313) 365-3101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 2008 | Michigan |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | Michigan |
Profile Details
| NPI number | 1235426545 |
|---|---|
| LBN Legal business name | Smith, Edith Rena |
| Credentials | CERTIFIED PEER SUPPO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2011 |
| Last updated | Feb 21st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235426545 | NPPES |
| Michigan | Other | 2018 | CERIFIED PEER RECOVERY COACH |
| Michigan | Other | 2008 | CERIFIED PEER RECOVERY COACH |
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