Provider Demographics
NPI:1356217954
Name:MILES OF SMILES FOUNDATION, INC
Entity type:Organization
Organization Name:MILES OF SMILES FOUNDATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOXIE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:239-810-0636
Mailing Address - Street 1:19810 GOTTARDE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33917-4563
Mailing Address - Country:US
Mailing Address - Phone:239-810-0636
Mailing Address - Fax:
Practice Address - Street 1:19810 GOTTARDE RD
Practice Address - Street 2:
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33917-4563
Practice Address - Country:US
Practice Address - Phone:239-810-0636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty