Provider Demographics
NPI:1396475562
Name:INNER WAY LLC
Entity type:Organization
Organization Name:INNER WAY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:SMILEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:858-876-4539
Mailing Address - Street 1:16877 E COLONIAL DR STE 327
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32820-1910
Mailing Address - Country:US
Mailing Address - Phone:858-876-4539
Mailing Address - Fax:407-704-1787
Practice Address - Street 1:16877 E COLONIAL DR STE 327
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32820-1910
Practice Address - Country:US
Practice Address - Phone:858-876-4539
Practice Address - Fax:407-704-1787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-12
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty