Individual
SAMANTHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24445 NORTHWESTERN HWY, SOUTHFIELD, MI 48075
(248) 483-7804
Mailing address
1037 HIGH RIDGE DRIVE, CANTON, MI 48187
(313) 587-3000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451011910
MI
101YM0800X
Mental Health Counselor
6401011910
MI
101YM0800X
Mental Health Counselor
6451011910
MI
Other
Enumeration date
05/23/2017
Last updated
08/11/2025
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