FOREVER SMILING PROFESSIONAL THERAPY NPI 1477443448

NPI Information

  • NPI: 1477443448
  • Provider Name: FOREVER SMILING PROFESSIONAL THERAPY
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 110 W VINE ST
    MARTINSVILLE, IL
    ZIP 62442
  • Phone: (217) 822-8446

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NPI Details

FOREVER SMILING PROFESSIONAL THERAPY is a mental health (including community mental health center) clinic center in Martinsville, IL. FOREVER SMILING PROFESSIONAL THERAPY NPI is 1477443448. The provider is registered as an organization entity type.

The provider's business location address is:

110 W VINE ST
MARTINSVILLE, IL
ZIP 62442-206
Phone: (217) 822-8446

The provider's authorized official is Nikki Renee Davidson .
The authorized official title is Ceo/therapist and has the following contact phone number (217) 822-8446.

The enumeration date for this NPI number is 7/9/2025 and was last updated on 7/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QC1500XClinic/CenterCommunity HealthNo
2251B00000XCase ManagementNo
3261QH0100XClinic/CenterHealth ServiceNo
4251V00000XVoluntary or CharitableNo
5261Q00000XClinic/CenterNo
6261QM0850XClinic/CenterAdult Mental HealthNo
7261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
8261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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