Organization · NPI-2

A Place 2 Smile LLC

Community/Behavioral Health · Charleston, SC

NPI number1083150494
StatusActive
Last updated in NPPESJan 9, 2017

Details

NPI
1083150494
Entity type
Organization (NPI-2)
Legal business name
A Place 2 Smile LLC
Organization subpart
No
Enumeration date
Jan 9, 2017
Last updated
Jan 9, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health9399SCYes
251B00000X Case Management9399SC
251K00000X Public Health or Welfare9399SC
252Y00000X Early Intervention Provider Agency9399SC

Practice location

1 Carriage Ln
Building E Suite 107
Charleston, SC 29407-6060

Phone 843-556-4449

Mailing address

1 Carriage Ln
Building E Suite 107
Charleston, SC 29407-6060

Phone 843-556-4449

Authorized official

Jessica Winkler
Therapist
8433641107

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