Smith Lambe Two Heads

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

4301053454 Issued in MI

Legal business name

SMITH LAMBE TWO HEADS

Practice address

29700 Harper Ave
Ste 1
Saint Clair Shores, MI 48082-2601

Phone

(810) 622-7805

NPI assigned

Oct 21, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shelley Taglione

Title

Billing Superv

Phone

(734) 414-0754

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1780836734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29700 HARPER AVE",
            "address_2": "STE 1",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822601",
            "telephone_number": "810-622-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29700 HARPER AVE",
            "address_2": "STE 1",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822601",
            "telephone_number": "810-622-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH LAMBE TWO HEADS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "TAGLIONE",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "BILLING SUPERV",
        "authorized_official_telephone_number": "734-414-0754"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "4301053454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michelle Lynn Sloan, RN, MSN, APN, BC
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• Keisha Smith
• Tilmira Smith, MD
• Wontika R. Smith, M.D.

• Counseling Psychologist in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.