| Doctor Name: | MRS. HEATHER MARIE SMITH |
| NPI Number: | 1073763207 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A |
| License Number: | 6401011090 |
| Business Practice Address: | 800 Livingston Blvd 2nd Floor, Suite B Gaylord, MI - 497358351 |
| Business Phone Number: | 9897326292 |
| Business Fax Number: | |
| Mailing Address: | 800 Livingston Blvd, 2nd Floor, Suite B GAYLORD |
| State: | MI |
| Postal Code: | 497358351 |
| Phone Number: | 9897326292 |
| Fax Number: | |
| NPI Enumeration Date: | 09/24/2008 |
| NPI Last Update Date: | 02/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401011090 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |