# BS WAY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306625611
- **Authorized official:** KELLY LACHELLE SMITH MD (COUNSELOR)
- **Authorized official phone:** (562) 743-8166

## Contact information

- **Practice address:** 750 NEWFOUND HOLLOW DR, CHARLOTTE, NC 28214-4502
- **Practice address phone:** (980) 417-3190
- **Mailing address:** PO BOX 31323, CHARLOTTE, NC 28231
- **Mailing address phone:** (980) 417-3190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | — | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/26/2023
- **Last updated:** 06/03/2026