Healing Roots Behavioral Health Center, Llc | |
200 W. 5th North Street, Suite C Healing Roots Behavioral Health Center, Llc Summerville SC 29483-6618 | |
(843) 695-8865 | |
(843) 695-8517 |
Full Name | Healing Roots Behavioral Health Center, Llc |
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Speciality | Social Worker |
Location | 200 W. 5th North Street, Suite C, Summerville, South Carolina |
Authorized Official Name and Position | Sherie R. Corbett (THERAPIST/OWNER) |
Authorized Official Contact | 8436958865 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healing Roots Behavioral Health Center, Llc 200 W. 5th North Street, Suite C Healing Roots Behavioral Health Center, Llc Summerville SC 29483-6618 Ph: (843) 695-8865 | Healing Roots Behavioral Health Center, Llc 200 W. 5th North Street, Suite C Healing Roots Behavioral Health Center, Llc Summerville SC 29483-6618 Ph: (843) 695-8865 |
NPI Number | 1336697499 |
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Provider Enumeration Date | 09/19/2016 |
Last Update Date | 12/27/2017 |
Medicare PECOS PAC ID | 3173803228 |
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Medicare Enrollment ID | O20161206001779 |
Identifier | Type | State | Issuer |
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1336697499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 8883 (South Carolina) | Primary |
Provider Name | Sherie R Corbett |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255477550 PECOS PAC ID: 2062508716 Enrollment ID: I20071011000358 |
Provider Name | Megan C Beauchamp |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275034829 PECOS PAC ID: 7315299377 Enrollment ID: I20181003000538 |
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