Organization
B. SMITH & ASSOCIATES, LLC
Active
Other names
Star Innovative Coaching
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA A SMITH M.ED. (CEO)
(478) 352-1025
Entity
Organization
Contact information
Practice address
4501 RUSSELL PKWY STE 36, WARNER ROBINS, GA 31088-8681
(478) 333-1232
(478) 333-1368
Mailing address
PO BOX 6916, WARNER ROBINS, GA 31095-6916
(478) 333-1232
(478) 333-1368
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003249905B
—
GA
Enumeration date
05/14/2021
Last updated
05/14/2021
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