Individual provider · Type 1 NPI
Odetta Smiley, PSYD, LPC, CCMHC, MAC
Professional Counselor · Richmond Hill, GA
NPI number
1194082818
Active
Practice location
185 Richard Davis Dr Ste 102
Richmond Hill, GA 31324-3978
Fax (844) 904-0927
Mailing address
20 Joshua Cir
Ellabell, GA 31308-7301
Other practice locations
- 2052 Watson Blvd, Warner Robins, GA 31093-3625 · (478) 227-2419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 507430 |
| Psychologist | 103T00000X | None listed |
| Professional Counselor Primary | 101YP2500X | LPC004492 (GA) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1194082818
Odetta Smiley, PSYD, LPC, CCMHC, MAC's National Provider Identifier is 1194082818, issued on Apr 19, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Richmond Hill, GA. The record was last updated on Jan 26, 2024.