Organization
BS WAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY LACHELLE SMITH MD (COUNSELOR)
(562) 743-8166
Entity
Organization
Contact information
Practice address
1517 BARTO PL, GREENSBORO, NC 27405
(980) 417-3190
Mailing address
PO BOX 31323, CHARLOTTE, NC 28231
(980) 417-3190
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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