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Ms. Edith Rena Smith, CERTIFIEDPEERSUPPO
Counselor in Detroit, Michigan
NPI 1235426545

Edith Rena Smith is a Counselor based in Detroit, MI. Edith Rena Smith practices in Detroit, MI and has the professional credentials of CERTIFIEDPEERSUPPO. The NPI Number for Edith Rena Smith is 1235426545 and holds a License No. 2008 (Michigan).

The current practice location address for Edith Rena Smith is 1121 E Mcnichols Rd, Detroit, MI and can be reached out via phone at 313-365-3100 and via fax at 313-365-3101. You can also correspond with Edith Rena Smith through the mailing address at 707 W MILWAUKEE ST, DETROIT, MI - 48202-2943 (mailing address contact number: 313-347-2068).

Location: 1121 E Mcnichols Rd, Detroit, MI, 48202-2943
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Provider Profile Details
NPI Number
1235426545
Provider Name
Edith Rena Smith
Credential
CERTIFIEDPEERSUPPO
Provider Entity Type
Individual
Gender
Female
Address
1121 E Mcnichols Rd, Detroit, MI, 48202-2943
Phone Number
313-365-3100
Fax Number
313-365-3101
Provider Enumeration Date
07/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2018 01 MI CERIFIED PEER RECOVERY COACH
2008 01 MI CERIFIED PEER SUPPORT SPECIALIST
institution
Provider Business Practice Location Address Details
Address
1121 E Mcnichols Rd
City
State
Zip
48203-2857
Phone Number
313-365-3100
Fax Number
313-365-3101
person
Provider Business Mailing Address Details
Address
707 W Milwaukee St
City
State
Zip
48202-2943
Phone Number
313-347-2068
Fax Number
313-825-2429
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
(Michigan)
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.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
2008 (Michigan)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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