Organization
SMILEYS WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KILEY RHAE BRESCOACH LICSW (OWNER/CLINICAL THERAPIST)
(304) 502-3928
Entity
Organization
Contact information
Practice address
704 ICE STREET, BARRACKVILLE, WV 26559-4000
(304) 207-0087
Mailing address
PO BOX 995, BARRACKVILLE, WV 26559-4000
(304) 207-0087
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/06/2024
Last updated
03/27/2025
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