| In His Image Outreach | |
|
1100 W Franklin St Anderson SC 29624-2012 | |
| (864) 381-5248 | |
| Not Available |
| Full Name | In His Image Outreach |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1100 W Franklin St, Anderson, South Carolina |
| Authorized Official Name and Position | Beverly White (ADMINISTRATOR) |
| Authorized Official Contact | 8643815248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| In His Image Outreach Po Box 413 Belton SC 29627-0413 Ph: (864) 381-5248 | In His Image Outreach 1100 W Franklin St Anderson SC 29624-2012 Ph: (864) 381-5248 |
| NPI Number | 1104698695 |
|---|---|
| Provider Enumeration Date | 10/27/2023 |
| Last Update Date | 10/27/2023 |
| Certification Date | 10/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104698695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
News Archive
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