1 Foundation | |
150 Bw Thomas Dr Fort Mill SC 29708-7230 | |
(773) 946-0995 | |
Not Available |
Full Name | 1 Foundation |
---|---|
Speciality | Counselor - Mental Health |
Location | 150 Bw Thomas Dr, Fort Mill, South Carolina |
Authorized Official Name and Position | Elijah Hampton (CEO) |
Authorized Official Contact | 7739460995 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1 Foundation 9904 Bonita Ln Apt 411 Charlotte NC 28262-1078 Ph: (773) 946-0995 | 1 Foundation 150 Bw Thomas Dr Fort Mill SC 29708-7230 Ph: (773) 946-0995 |
NPI Number | 1396220638 |
---|---|
Provider Enumeration Date | 10/02/2018 |
Last Update Date | 10/02/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396220638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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