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MRS. LAVERNE D. SMITH-RUDOLPH
NPI 1104059567
Counselor - Addiction (Substance Use Disorder) in Detroit, MI

Active since September 01, 2009
17131 GITRE ST, DETROIT, MI 48205(313) 245-4357(313) 371-6139 Get Directions Write a Review

NPPES record last updated: September 1, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Laverne D. Smith-rudolph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LAVERNE D. SMITH-RUDOLPH (NPI 1104059567) is an individual addiction (substance use disorder) provider in Detroit, Michigan and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1104059567
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. LAVERNE D. SMITH-RUDOLPH
Location Address17131 GITRE STDetroit, MI 48205-3161
Mailing Address17131 Gitre StDetroit, MI 48205-3161 · (313) 245-4357 · Fax (313) 371-6139
Phone(313) 245-4357
Fax(313) 371-6139
Sole ProprietorNo
Enumeration DateSeptember 1, 2009
✔ NPI 1104059567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
17131 GITRE ST, Detroit, MI 48205
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW LIFE HOME FOR RECOVERING WOMEN, INC.
Substance Abuse Rehabilitation Facility
17131 GITRE ST
DETROIT, MI 48205
Wayne County (313) 245-4357
RACHEL DOTSON
Counselor (Addiction (Substance Use Disorder))
17131 GITRE ST
DETROIT, MI 48205
Wayne County (313) 245-4357
SACRED HEART REHABILITATION CENTER, INC
Substance Abuse Rehabilitation Facility
17131 GITRE ST
DETROIT, MI 48205
Wayne County (313) 245-4357
ALEXSTINE Q DAVIS
Counselor (Addiction (Substance Use Disorder))
17131 GITRE ST
DETROIT, MI 48205
Wayne County (313) 245-4357

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laverne Smith-rudolph's NPI number?

The NPI number for Laverne Smith-rudolph is 1104059567. It was assigned to this individual provider in the NPPES registry on September 1, 2009.

Where is Laverne Smith-rudolph located?

Laverne Smith-rudolph practices at 17131 Gitre St, Detroit, MI 48205. The listed phone number is (313) 245-4357.

What is Laverne Smith-rudolph's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Laverne Smith-rudolph was last updated on September 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.