Organization
SUNTIA SMITH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNTIA SMITH (OWNER)
(864) 444-3057
Entity
Organization
Contact information
Practice address
3445 PELHAM RD STE B, GREENVILLE, SC 29615-4194
(864) 559-8581
(864) 751-9331
Mailing address
3445 PELHAM RD STE B, GREENVILLE, SC 29615-4194
(864) 559-8581
(864) 751-9331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9166
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1217
—
SC
Enumeration date
07/16/2015
Last updated
10/01/2015
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