Organization
BEHIND THE SMILE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHINIQUA M LEE LCSW (OWNER/MEMBER)
(704) 981-1287
Entity
Organization
Contact information
Practice address
1101 SUNSET RD UNIT 681753, CHARLOTTE, NC 28216-0480
(704) 981-1287
Mailing address
1101 SUNSET RD UNIT 681753, CHARLOTTE, NC 28216-0480
(704) 981-1287
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/21/2024
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