Provider Demographics
NPI:1942715065
Name:S.M.I.L.E.S. INTEGRATIVE THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:S.M.I.L.E.S. INTEGRATIVE THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:NOIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-583-8333
Mailing Address - Street 1:1120 COTTONWOOD DR STE 4
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-7606
Mailing Address - Country:US
Mailing Address - Phone:513-583-8333
Mailing Address - Fax:513-583-8334
Practice Address - Street 1:1120 COTTONWOOD DR STE 4
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-7606
Practice Address - Country:US
Practice Address - Phone:513-583-8333
Practice Address - Fax:513-583-8334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-12
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty