NPI | 1477443448 |
---|---|
Doing Business As | FOREVER SMILING PROFESSIONAL THERAPY |
Entity Type | Organization |
Authorized Contact | NIKKI RENEE DAVIDSON CEO/Therapist 217-822-8446 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
251B00000X Case Management | |
261QH0100X Clinic/Center, Health Services | |
251V00000X Voluntary or Charitable | |
261Q00000X Clinic/Center | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2025-07-09 |
Last Update Date | 2025-07-09 |