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Organization
ODETTA SMILEY, PSYD, LPC, LLC.
Active
Organization
ODETTA SMILEY, PSYD, LPC, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ODETTA SMILEY PSY.D. (PSYCHOLOGIST)
(478) 227-2419
Entity
Organization
Contact information
Practice address
185 RICHARD DAVIS DR STE 102, RICHMOND HILL, GA 31324-3978
(912) 304-3051
(844) 904-0927
Mailing address
20 JOSHUA CIR, ELLABELL, GA 31308-7301
(912) 655-1811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103T00000X
Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003140039A
—
GA
01
—
1194082818
NPI 1
—
Enumeration date
01/14/2020
Last updated
11/18/2023
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