| Family Stabilizations Llc | |
|
504 Miller Rd Sumter SC 29150-3366 | |
| (803) 467-1263 | |
| (803) 234-6434 |
| Full Name | Family Stabilizations Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 504 Miller Rd, Sumter, South Carolina |
| Authorized Official Name and Position | Gerod Gore (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8034671263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Stabilizations Llc Po Box 7357 Sumter SC 29150 Ph: (803) 467-1263 | Family Stabilizations Llc 504 Miller Rd Sumter SC 29150-3366 Ph: (803) 467-1263 |
| NPI Number | 1235219841 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235219841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 1040 (South Carolina) | Primary |
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