Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Edith Rena Smith, CERTIFIEDPEERSUPPO

Individual provider Peer Specialist · NPI 1235426545

MS. Edith Rena Smith, CERTIFIEDPEERSUPPO is a Peer Specialist in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

1121 E McNichols Rd
Detroit, MI 48203-2857
Phone: (313) 365-3100
Fax: (313) 365-3101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (MI)
Peer Specialist Taxonomy 175T00000X · Licence 2008 (MI)

Record details

NPI number1235426545
Entity typeIndividual (Type 1)
GenderFemale
Credentials CERTIFIEDPEERSUPPO
Sole proprietorYes
NPI enumeratedJuly 7, 2011
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023

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