A Place 2 Smile LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

9399 Issued in SC

Legal business name

A PLACE 2 SMILE LLC

Practice address

1 Carriage LN
Building E Suite 107
Charleston, SC 29407-6060

Phone

(843) 556-4449

NPI assigned

Jan 9, 2017

Last updated

Jan 9, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jessica Winkler, L-MSW

Title

Therapist

Phone

(843) 364-1107

Specialties & licenses 4

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1083150494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CARRIAGE LN",
            "address_2": "BUILDING E SUITE 107",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076060",
            "telephone_number": "843-556-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CARRIAGE LN",
            "address_2": "BUILDING E SUITE 107",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076060",
            "telephone_number": "843-556-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PLACE 2 SMILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "WINKLER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "843-364-1107",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L-MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "SC",
            "license": "9399",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "SC",
            "license": "9399",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "SC",
            "license": "9399",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "9399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Charleston, SC
• Providers in Charleston, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.