| Provider / Organization | NPI | Date Certified |
|---|---|---|
| THEODORE SMITH | 1477152924 | 2020-10-25 |
Theodore Smith is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1477152924. Registration indicates Theodore Smith is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Theodore Smith |
| Practice Office Address | 140 MICHIGAN AVE W BATTLE CREEK, MI US |
| Practice Office Telephone | 2699661460 |
| Practice Office Fax | 2699662844 |
| Mailing Address | 140 MICHIGAN AVE W BATTLE CREEK, MI 490173602 US |
| Business Telephone | 2699661460 |
| Business Fax | 2699662844 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 6801108197
MI |
| 6801108197 | OTHER | MI | LICENSE NUMBER |