Odetta Smiley, Psyd, Lpc, Llc.
LBN: Odetta Smiley, Psyd, Lpc, Llc.
Odetta Smiley, Psyd, Lpc, Llc. is an health care organization with primary practice located at 185 Richard Davis Dr Ste 102 , Richmond Hill GA 31324-3978. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Odetta Smiley, Psyd, Lpc, Llc. can be contacted via phone (912) 304-3051, or through Smiley, Odetta via phone (478) 227-2419.
Contact Information
Primary practice address
185 Richard Davis Dr Ste 102
Richmond Hill GA 31324-3978
Phone: (912) 304-3051
Fax: (844) 904-0927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
| NPI number | 1659911063 |
|---|---|
| LBN Legal business name | Odetta Smiley, Psyd, Lpc, Llc. |
| DBA Doing business as | |
| Authorized official | Smiley, Odetta PSY.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 14th, 2020 |
| Last updated | Nov 18th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659911063 | NPPES |
| Georgia | MEDICAID | 003140039A | |
| Georgia | Other | 1194082818 |
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