Healthcare Provider Details

I. General information

NPI: 1457096612
Provider Name (Legal Business Name): SMILES PSYCHIATRY & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2022
Last Update Date: 05/02/2022
Certification Date: 05/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 BIRCH ALY STE 240
BEAVERCREEK OH
45440-1477
US

IV. Provider business mailing address

1221 TROTTERS RUN CT
CENTERVILLE OH
45458-7512
US

V. Phone/Fax

Practice location:
  • Phone: 937-619-9646
  • Fax:
Mailing address:
  • Phone: 240-429-0551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. NATOSHA SMITH ONASANYA
Title or Position: OWNER AND CEO
Credential: MD, MPH
Phone: 937-619-9646