Individual
SCHYLON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
535 HOLT COLLIER ST, GREENVILLE, MS 38701-3846
(662) 378-6052
Mailing address
535 HOLT COLLIER ST, GREENVILLE, MS 38701-3846
(662) 378-6052
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/21/2022
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