Organization
FOREVER SMILING PROFESSIONAL THERAPY
Active
Other names
Forever Smiling Professional Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI RENEE DAVIDSON MS-LMHC (CEO/THERAPIST)
(217) 822-8446
Entity
Organization
Contact information
Practice address
110 W VINE ST, MARTINSVILLE, IL 62442-1206
(217) 822-8446
Mailing address
5724 GREEN ST FL 2, BROWNSBURG, IN 46112-1471
(217) 822-8446
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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