Provider Demographics
NPI:1861198178
Name:SMART CHOICE SOLUTIONS LLC
Entity type:Organization
Organization Name:SMART CHOICE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:LEILA
Authorized Official - Last Name:SMART
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:551-697-3954
Mailing Address - Street 1:255 PACIFIC AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-3329
Mailing Address - Country:US
Mailing Address - Phone:551-697-3954
Mailing Address - Fax:
Practice Address - Street 1:255 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-3329
Practice Address - Country:US
Practice Address - Phone:551-697-3954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)