Organization
S M I L E INC
Active
Other names
S.M.I.L.E. INC. MENTAL HEALTH & AODA OUTPATIENT CLINIC, S.M.I.L.E. INC.
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE L VEASEY BS,MSW, APSW, SAC-IT (PRESIDENT/CEO)
(262) 343-5609
Entity
Organization
Contact information
Practice address
4222 W CAPITOL DR STE 308, MILWAUKEE, WI 53216-2500
(262) 343-5609
Mailing address
4222 W CAPITOL DR STE 308, MILWAUKEE, WI 53216-2500
(262) 343-5609
(414) 249-3312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100077100
—
WI
Enumeration date
03/01/2017
Last updated
10/10/2018
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