Mainstream Therapeutic Services Llc | |
4124 Clemson Blvd J Anderson SC 29621-1169 | |
(864) 477-8128 | |
Not Available |
Full Name | Mainstream Therapeutic Services Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 4124 Clemson Blvd, Anderson, South Carolina |
Authorized Official Name and Position | Chaka Smith (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 8643519434 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mainstream Therapeutic Services Llc 713d E Greenville St #324 Anderson SC 29621-4838 Ph: () - | Mainstream Therapeutic Services Llc 4124 Clemson Blvd J Anderson SC 29621-1169 Ph: (864) 477-8128 |
NPI Number | 1700281797 |
---|---|
Provider Enumeration Date | 11/03/2014 |
Last Update Date | 11/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700281797 | NPI | - | NPPES |
PC1156 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 5343 (South Carolina) | Primary |
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