Provider Demographics
NPI:1609315795
Name:SMILE PROJECT SUPPORT SERVICES, LLC
Entity Type:Organization
Organization Name:SMILE PROJECT SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:404-695-5258
Mailing Address - Street 1:5071 AUSTELL POWDER SPRINGS RD UNIT 753
Mailing Address - Street 2:
Mailing Address - City:CLARKDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30111-0807
Mailing Address - Country:US
Mailing Address - Phone:404-695-5258
Mailing Address - Fax:770-995-1959
Practice Address - Street 1:1827 POWERS FERRY RD SE STE 350
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-5621
Practice Address - Country:US
Practice Address - Phone:404-695-5258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-22
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty