Footprints South Carolina, Inc. | |
454 Anderson Rd S Btc- 598 Suite 2 Rock Hill SC 29730-3392 | |
(803) 980-1925 | |
(803) 980-1935 |
Full Name | Footprints South Carolina, Inc. |
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Speciality | Counselor - Mental Health |
Location | 454 Anderson Rd S, Rock Hill, South Carolina |
Authorized Official Name and Position | Richard Anderson (CEO) |
Authorized Official Contact | 8039801925 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Footprints South Carolina, Inc. 454 Anderson Rd S Btc- 598 Suite 2 Rock Hill SC 29730-3392 Ph: (803) 980-1925 | Footprints South Carolina, Inc. 454 Anderson Rd S Btc- 598 Suite 2 Rock Hill SC 29730-3392 Ph: (803) 980-1925 |
NPI Number | 1457546251 |
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Provider Enumeration Date | 09/14/2007 |
Last Update Date | 12/04/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457546251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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