| Keep Smiling Therapy Lcsw Pllc | |
|
555 Broadhollow Rd Ste 101 Melville NY 11747-5001 | |
| (631) 505-2961 | |
| (631) 393-2909 |
| Full Name | Keep Smiling Therapy Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 555 Broadhollow Rd Ste 101, Melville, New York |
| Authorized Official Name and Position | Chanell Smiley (SOCIAL WORKER/FOUNDER) |
| Authorized Official Contact | 5164733195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keep Smiling Therapy Lcsw Pllc 555 Broadhollow Rd Ste 101 Melville NY 11747-5001 Ph: (631) 505-2961 | Keep Smiling Therapy Lcsw Pllc 555 Broadhollow Rd Ste 101 Melville NY 11747-5001 Ph: (631) 505-2961 |
| NPI Number | 1396364287 |
|---|---|
| Provider Enumeration Date | 04/11/2020 |
| Last Update Date | 04/11/2020 |
| Certification Date | 04/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396364287 | NPI | - | NPPES |
| 05493678 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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