# SMART START INDEPENDENT LIVING LLC

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

## Provider details

- **NPI number:** 1902485113
- **Authorized official:** DONNA MCCALL MYLES (OWNER/MANAGER)
- **Authorized official phone:** (760) 596-5999

## Contact information

- **Practice address:** 1550 W HORIZON RIDGE PKWY \# R579, HENDERSON, NV 89012-3600
- **Practice address phone:** (760) 596-5999
- **Mailing address:** 1550 W HORIZON RIDGE PKWY \# R579, HENDERSON, NV 89012-3600
- **Mailing address phone:** (760) 596-5999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 177F00000X | Lodging Provider | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | — |

## Other

- **Enumeration date:** 04/05/2021
- **Last updated:** 04/05/2021