Mrs Lourdes Damasco Tepper, MA | |
301 Palmetto Park Blvd, Lexington, SC 29072-7872 | |
(803) 996-1500 | |
Not Available |
Full Name | Mrs Lourdes Damasco Tepper |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 301 Palmetto Park Blvd, Lexington, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174704191 | NPI | - | NPPES |
421504 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | South Carolina Dept Of Mental Health Accounting Office |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295332690 PECOS PAC ID: 9032021175 Enrollment ID: O20031107000041 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lourdes Damasco Tepper, MA 137 Shipyard Blvd, Chapin, SC 29036-7768 Ph: (803) 944-7540 | Mrs Lourdes Damasco Tepper, MA 301 Palmetto Park Blvd, Lexington, SC 29072-7872 Ph: (803) 996-1500 |
Hannah Latta, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 Barr Rd, Lexington, SC 29072 Phone: 803-546-8228 | |
Miss Bodequia Simon, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 Palmetto Park Blvd Ste D, Lexington, SC 29072 Phone: 803-996-1500 | |
Hugh A. Henderson, CAC, CPE, MDN Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Palmetto Park Blvd, Lexington, SC 29072 Phone: 803-996-1500 | |
Ms. Freddie Karen Busha, LPC/S Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Palmetto Park Blvd, Lexington, SC 29072 Phone: 803-996-1500 | |
Riley Danielle Goldstein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 Palmetto Park Blvd Ste D, Lexington, SC 29072 Phone: 803-996-1500 | |
Mrs. Mary Ellen Grigsby, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 426 S Lake Dr, Lexington, SC 29072 Phone: 803-814-5559 | |
Michelle Lynne Eichelberger, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Palmetto Park Blvd, Lexington, SC 29072 Phone: 803-996-1500 |