| Odetta Smiley, Psyd, Lpc, Llc. | |
|
185 Richard Davis Dr Ste 102 Richmond Hill GA 31324-3978 | |
| (912) 304-3051 | |
| (844) 904-0927 |
| Full Name | Odetta Smiley, Psyd, Lpc, Llc. |
|---|---|
| Speciality | Counselor |
| Location | 185 Richard Davis Dr Ste 102, Richmond Hill, Georgia |
| Authorized Official Name and Position | Odetta Smiley (PSYCHOLOGIST) |
| Authorized Official Contact | 4782272419 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Odetta Smiley, Psyd, Lpc, Llc. 20 Joshua Cir Ellabell GA 31308-7301 Ph: (912) 655-1811 | Odetta Smiley, Psyd, Lpc, Llc. 185 Richard Davis Dr Ste 102 Richmond Hill GA 31324-3978 Ph: (912) 304-3051 |
| NPI Number | 1659911063 |
|---|---|
| Provider Enumeration Date | 01/14/2020 |
| Last Update Date | 11/18/2023 |
| Certification Date | 11/18/2023 |
| Medicare PECOS PAC ID | 0446652036 |
|---|---|
| Medicare Enrollment ID | O20210702002523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659911063 | NPI | - | NPPES |
| 003140039A | Medicaid | GA | |
| 1194082818 | Other | NPI 1 |
| Provider Name | Robert A Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538331509 PECOS PAC ID: 6901976091 Enrollment ID: I20080602000176 |
Nowlin And Company Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Harris Trail Rd Apt 18b, Richmond Hill, GA 31324 Phone: 912-572-4877 Fax: 912-572-4877 | |
Transformation Counseling, Consultation And Coaching, Llc /'tc3' Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Deer Rd, Richmond Hill, GA 31324 Phone: 170-430-3355 | |
Beyond Measures Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 88 William Hall Way, Richmond Hill, GA 31324 Phone: 330-766-9267 Fax: 912-809-4018 | |
Bloom Behavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Blue Lake St, Richmond Hill, GA 31324 Phone: 601-896-2102 | |
Stafford Services Of Coastal Georgia Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Richard Davis Dr Ste 105, Richmond Hill, GA 31324 Phone: 833-779-3825 | |
Gems Counseling And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10149 Ford Avenue, Office #4, Richmond Hill, GA 31324 Phone: 912-507-3362 | |
Richmond Hill Family Counseling Center, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Frances Meeks Way, Suite 7, Richmond Hill, GA 31324 Phone: 912-756-7505 Fax: 912-756-7514 |