| Doctor Name: | JUDITH ANN SMILEY |
| NPI Number: | 1194988238 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LLPC |
| License Number: | 6401009837 |
| Business Practice Address: | 2745 Hillcrest Wixom, MI - 483931232 |
| Business Phone Number: | 2489609778 |
| Business Fax Number: | |
| Mailing Address: | 2745 Hillcrest Street, WIXOM |
| State: | MI |
| Postal Code: | 483931232 |
| Phone Number: | 2489609778 |
| Fax Number: | |
| NPI Enumeration Date: | 07/09/2008 |
| NPI Last Update Date: | 07/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6401009837 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |