| Smith Therapy, Llc | |
|
104 Pilgrim Village Dr Ste 300 Cumming GA 30040-9232 | |
| (678) 933-2517 | |
| (770) 406-8872 |
| Full Name | Smith Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 104 Pilgrim Village Dr Ste 300, Cumming, Georgia |
| Authorized Official Name and Position | Lynette Clark (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7703397667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smith Therapy, Llc 5180 Fieldgate Ridge Dr Cumming GA 30028-5918 Ph: (678) 933-2517 | Smith Therapy, Llc 104 Pilgrim Village Dr Ste 300 Cumming GA 30040-9232 Ph: (678) 933-2517 |
| NPI Number | 1295376077 |
|---|---|
| Provider Enumeration Date | 10/03/2019 |
| Last Update Date | 08/23/2022 |
| Certification Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295376077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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