Organization
A PLACE 2 SMILE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA WINKLER L-MSW (THERAPIST)
(843) 364-1107
Entity
Organization
Contact information
Practice address
1 CARRIAGE LN, BUILDING E SUITE 107, CHARLESTON, SC 29407-6060
(843) 556-4449
Mailing address
1 CARRIAGE LN, BUILDING E SUITE 107, CHARLESTON, SC 29407-6060
(843) 556-4449
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
9399
SC
251K00000X
Public Health or Welfare Agency
9399
SC
251S00000X
Community/Behavioral Health Agency
Primary
9399
SC
252Y00000X
Early Intervention Provider Agency
9399
SC
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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