Surpass Behavioral Health | |
1345 Companion Ct Sumter SC 29150-1749 | |
(615) 569-1314 | |
(615) 577-5654 |
Full Name | Surpass Behavioral Health |
---|---|
Speciality | Behavior Analyst |
Location | 1345 Companion Ct, Sumter, South Carolina |
Authorized Official Name and Position | Jessica Kirk (REVENUE CYCLE MANAGER) |
Authorized Official Contact | 6158805782 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Surpass Behavioral Health Po Box 931142 Atlanta GA 31193-1142 Ph: (615) 696-6761 | Surpass Behavioral Health 1345 Companion Ct Sumter SC 29150-1749 Ph: (615) 569-1314 |
NPI Number | 1417477175 |
---|---|
Provider Enumeration Date | 06/23/2017 |
Last Update Date | 09/19/2023 |
Certification Date | 09/19/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417477175 | NPI | - | NPPES |
W07744SC1 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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