Organization
SMITH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE CLARK (CREDENTIALING MANAGER)
(770) 339-7667
Entity
Organization
Contact information
Practice address
104 PILGRIM VILLAGE DR STE 300, CUMMING, GA 30040-9232
(678) 933-2517
(770) 406-8872
Mailing address
5180 FIELDGATE RIDGE DR, CUMMING, GA 30028-5918
(678) 933-2517
(770) 406-8872
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
08/23/2022
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