| Body And Soul Therapy Llc | |
|
2045 Maybank Hwy Charleston SC 29412 | |
| (843) 795-1100 | |
| (843) 225-4014 |
| Full Name | Body And Soul Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2045 Maybank Hwy, Charleston, South Carolina |
| Authorized Official Name and Position | Barbara Susan Fox (OWNER MEMBER MANAGER) |
| Authorized Official Contact | 8437951100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Body And Soul Therapy Llc 2045 Maybank Hwy Charleston SC 29412 Ph: (843) 795-1100 | Body And Soul Therapy Llc 2045 Maybank Hwy Charleston SC 29412 Ph: (843) 795-1100 |
| NPI Number | 1134257033 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3971782186 |
|---|---|
| Medicare Enrollment ID | O20110120000269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134257033 | NPI | - | NPPES |
| 149647 | Other | VALUE OPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 7286 (South Carolina) | Primary |
| Provider Name | Barbara S Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194765024 PECOS PAC ID: 0941489157 Enrollment ID: I20110120000300 |
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