| Allied Therapeutics Llc | |
|
145 W Carolina Ave Summerville SC 29483-4354 | |
| (843) 873-6935 | |
| (843) 873-3568 |
| Full Name | Allied Therapeutics Llc |
|---|---|
| Speciality | Counselor |
| Location | 145 W Carolina Ave, Summerville, South Carolina |
| Authorized Official Name and Position | Rosalyn M Haller (MEMBER) |
| Authorized Official Contact | 8438101245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Therapeutics Llc Po Box 2103 Summerville SC 29484-2103 Ph: (843) 873-6935 | Allied Therapeutics Llc 145 W Carolina Ave Summerville SC 29483-4354 Ph: (843) 873-6935 |
| NPI Number | 1265974190 |
|---|---|
| Provider Enumeration Date | 11/09/2016 |
| Last Update Date | 11/09/2016 |
| Medicare PECOS PAC ID | 8921388570 |
|---|---|
| Medicare Enrollment ID | O20161216002030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265974190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Rosalyn Kramer Monat-haller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104949494 PECOS PAC ID: 9830479484 Enrollment ID: I20161216002070 |
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