Channel Smith is a Counselor based in Elkhart, IN. Channel Smith practices in Elkhart, IN. The NPI Number for Channel Smith is 1184252017 and holds a License No. (Indiana).
The current practice location address for Channel Smith is 1809 Visscher Dr, Elkhart, IN and can be reached out via phone at 773-491-5423.
Location: 1809 Visscher Dr, Elkhart, IN, 46514-6505
Provider Profile Details
NPI Number
1184252017
Provider Name
Channel Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
1809 Visscher Dr, Elkhart, IN, 46514-6505
Phone Number
773-491-5423
Fax Number
Provider Enumeration Date
03/27/2020
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-4511368 | 05 | IN |
Provider Business Practice Location Address Details
Address
1809 Visscher Dr
City
State
Zip
46514-6505
Phone Number
773-491-5423
Fax Number
Provider Business Mailing Address Details
Address
1809 Visscher Dr
City
State
Zip
46514-6505
Phone Number
773-491-5423
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
(Indiana)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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