Individual
SARAH BETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
610 E SOUTHPORT RD, 100, INDIANAPOLIS, IN 46227-8592
(317) 783-8383
(317) 782-6929
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002058A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530
—
IN
Enumeration date
12/08/2006
Last updated
10/28/2021
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