| Faith & Fly Psychiatric Practice, Llc | |
|
2424 India Hook Rd Rock Hill SC 29732-2784 | |
| (803) 801-0878 | |
| Not Available |
| Full Name | Faith & Fly Psychiatric Practice, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2424 India Hook Rd, Rock Hill, South Carolina |
| Authorized Official Name and Position | Mary Goldin (PMHNP-BC) |
| Authorized Official Contact | 8038010878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith & Fly Psychiatric Practice, Llc 3326 Jackson Creek Rd Winnsboro SC 29180-6600 Ph: () - | Faith & Fly Psychiatric Practice, Llc 2424 India Hook Rd Rock Hill SC 29732-2784 Ph: (803) 801-0878 |
| NPI Number | 1467038828 |
|---|---|
| Provider Enumeration Date | 03/24/2021 |
| Last Update Date | 03/24/2021 |
| Certification Date | 03/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467038828 | NPI | - | NPPES |
| B919 | Other | PTAN | |
| GP6088 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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