| Ms Edith Rena Smith, CERTIFIED PEER SUPPO | |
|
1121 E Mcnichols Rd, Detroit, MI 48203-2857 | |
| (313) 365-3100 | |
| (313) 365-3101 |
| Full Name | Ms Edith Rena Smith |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1121 E Mcnichols Rd, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235426545 | NPI | - | NPPES |
| 2008 | Other | MI | CERIFIED PEER SUPPORT SPECIALIST |
| 2018 | Other | MI | CERIFIED PEER RECOVERY COACH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Michigan) | Primary |
| 175T00000X | Peer Specialist | 2008 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Edith Rena Smith, CERTIFIED PEER SUPPO 707 W Milwaukee St, Detroit, MI 48202-2943 Ph: (313) 347-2068 | Ms Edith Rena Smith, CERTIFIED PEER SUPPO 1121 E Mcnichols Rd, Detroit, MI 48203-2857 Ph: (313) 365-3100 |
Anthony Jerome Allen, AAS., CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 12010 Linwood St, Detroit, MI 48206 Phone: 313-867-1090 Fax: 313-867-0706 |
Mr. Brian R Cogliati, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1852 W Grand Blvd, 1852 W. Grand Blvd, Detroit, MI 48208 Phone: 313-894-8444 Fax: 313-894-5542 |
Mr. Gregory Charles Guice, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1151 Taylor Ave., Detroit, MI 48202 Phone: 313-874-8715 |
Ms. Carol Potter, MA, BCBA, LBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Hunt St, Detroit, MI 48207 Phone: 248-537-2516 |
Mrs. Lisa Polk-woolfolk, MS, LLPC, CAC-M Counselor Medicare: Not Enrolled in Medicare Practice Location: 3731 Rivard St, Detroit, MI 48207 Phone: 313-258-9713 |
Alicia Monique Lurry, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8171 Parkland, Detroit, MI 48239 Phone: 313-282-7567 |
Mr. Darren Kilgore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 269 Walker St, 538, Detroit, MI 48207 Phone: 313-610-0134 |