Provider Demographics
NPI:1184121550
Name:SMREKAR, MICHELE P (CAP, IC RC)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:P
Last Name:SMREKAR
Suffix:
Gender:F
Credentials:CAP, IC RC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1089 WESLIN CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29588-7553
Mailing Address - Country:US
Mailing Address - Phone:843-252-2049
Mailing Address - Fax:
Practice Address - Street 1:1089 WESLIN CREEK DR
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29588-7553
Practice Address - Country:US
Practice Address - Phone:843-252-2049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)