Organization
SMART THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA WILLIAMS LCSW (OWNER)
(601) 941-5690
Entity
Organization
Contact information
Practice address
276 NISSAN PKWY # B100, CANTON, MS 39046-7006
(601) 808-3028
Mailing address
276 NISSAN PKWY # B100, CANTON, MS 39046-7006
(601) 808-3028
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/18/2013
Last updated
11/18/2020
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