Smith, Michell Sandra

Smith, Michell Sandra is an sole proprietor health care provider with primary practice located at 19960 Wyoming St , Detroit MI 48221-1598. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Managed Care Organizations / Health Maintenance Organization. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Smith, Michell Sandra can be contacted via phone (313) 282-4291.

Contact Information

Primary practice address
19960 Wyoming St Detroit MI 48221-1598
Phone: (313) 282-4291
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801083892 Michigan
Managed Care Organizations / Health Maintenance Organization 302R00000X 6801083892 Michigan

Profile Details

NPI number 1518255140
LBN Legal business name Smith, Michell Sandra
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2011
Last updated May 1st, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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