Provider Demographics
NPI:1215732029
Name:SMO UNLIMITED
Entity type:Organization
Organization Name:SMO UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRUSTEE
Authorized Official - Prefix:
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:O'STEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-201-2025
Mailing Address - Street 1:C/O 101 TUGGLE RD
Mailing Address - Street 2:
Mailing Address - City:CAIRO
Mailing Address - State:GEORGIA
Mailing Address - Zip Code:39827
Mailing Address - Country:UM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1776 GA 93
Practice Address - Street 2:
Practice Address - City:CAIRO
Practice Address - State:GEORGIA
Practice Address - Zip Code:39827
Practice Address - Country:UM
Practice Address - Phone:229-201-2025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty