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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235426545 NPPES
Michigan Other 2018 CERIFIED PEER RECOVERY COACH
Michigan Other 2008 CERIFIED PEER RECOVERY COACH

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