| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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