Inner Healing Charleston Llc | |
1316 Rutledge Ave Ste 103 Charleston SC 29403-3050 | |
(919) 599-9318 | |
Not Available |
Full Name | Inner Healing Charleston Llc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1316 Rutledge Ave Ste 103, Charleston, South Carolina |
Authorized Official Name and Position | Ryan E Coverdale (CIO) |
Authorized Official Contact | 9106854007 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Inner Healing Charleston Llc Po Box 689 Folly Beach SC 29439-0689 Ph: (919) 599-9318 | Inner Healing Charleston Llc 1316 Rutledge Ave Ste 103 Charleston SC 29403-3050 Ph: (919) 599-9318 |
NPI Number | 1851117014 |
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Provider Enumeration Date | 12/03/2024 |
Last Update Date | 12/03/2024 |
Certification Date | 12/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851117014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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