Smith, Michelle

Smith, Michelle is an sole proprietor health care provider with primary practice located at 3990 Branch Center Rd # 95827 Serna Center 5735 47Th Avenue, Sacramento CA 95827-3809. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Smith, Michelle can be contacted via phone (916) 743-3856.

Contact Information

Primary practice address
3990 Branch Center Rd # 95827 Serna Center 5735 47Th Avenue Sacramento CA 95827-3809
Phone: (916) 743-3856
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMF40419 California
Behavioral Health & Social Service Providers / Pastoral 101YP1600X IMF40419 California

Profile Details

NPI number 1508972951
LBN Legal business name Smith, Michelle
Credentials REVEREND
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508972951 NPPES
California Other 40419 BOARD REGISTRATION NUMBER

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