| Kenyatta Tavaris Bostic, | |
|
20 Powderhorn Rd, Simpsonville, SC 29681-3399 | |
| (864) 963-3421 | |
| Not Available |
| Full Name | Kenyatta Tavaris Bostic |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 20 Powderhorn Rd, Simpsonville, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447442447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenyatta Tavaris Bostic, 20 Powderhorn Rd, Simpsonville, SC 29681-3399 Ph: (864) 963-3421 | Kenyatta Tavaris Bostic, 20 Powderhorn Rd, Simpsonville, SC 29681-3399 Ph: (864) 963-3421 |
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› Verified 3 days ago
Sheila Samuel Jordan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Powderhorn Rd, Simpsonville, SC 29681 Phone: 864-963-3421 Fax: 864-962-0758 | |
Julianne Leshinsky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Strongridge Trl, Simpsonville, SC 29681 Phone: 201-916-1841 | |
Laura Poindexter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Powderhorn Rd, Simpsonville, SC 29681 Phone: 864-963-3421 Fax: 864-962-0758 | |
Pamela Renee Jordan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Powderhorn Rd, Simpsonville, SC 29681 Phone: 864-297-5044 Fax: 864-297-8969 | |
Ronald Henry Reames, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Se Main St Ste 201, Simpsonville, SC 29681 Phone: 864-963-4028 Fax: 864-963-5960 | |
Dana Leigh Brasfield, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Powderhorn Rd, Simpsonville, SC 29681 Phone: 864-963-3421 Fax: 864-962-0758 | |
Daniel Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Powderhorn Rd, Simpsonville, SC 29681 Phone: 864-963-3421 Fax: 864-962-0758 |