Organization
SMITH REHABILITATION COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON SMITH (OWNER)
(616) 780-0244
Entity
Organization
Contact information
Practice address
7864 BYRON DEPOT DR SW, BYRON CENTER, MI 49315-8046
(616) 780-0244
Mailing address
7864 BYRON DEPOT DR SW, BYRON CENTER, MI 49315-8046
(616) 780-0244
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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