Provider Demographics
NPI:1326753468
Name:SHAPING MARRIAGES IN THE LORD'S EYE-SMILE, LLC.
Entity Type:Organization
Organization Name:SHAPING MARRIAGES IN THE LORD'S EYE-SMILE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:EVON
Authorized Official - Last Name:JOYNER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCPC, NCC
Authorized Official - Phone:301-254-7845
Mailing Address - Street 1:2742 SWEET CLOVER CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1888
Mailing Address - Country:US
Mailing Address - Phone:301-254-7845
Mailing Address - Fax:
Practice Address - Street 1:2742 SWEET CLOVER CT
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1888
Practice Address - Country:US
Practice Address - Phone:301-254-7845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health