Provider Demographics
NPI:1831403302
Name:SMILING FACES LLC
Entity type:Organization
Organization Name:SMILING FACES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PA-LAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-978-1493
Mailing Address - Street 1:507 S CHERRY
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071
Mailing Address - Country:US
Mailing Address - Phone:270-753-0963
Mailing Address - Fax:
Practice Address - Street 1:507 S CHERRY ST
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-2639
Practice Address - Country:US
Practice Address - Phone:270-753-0963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY10091251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health