Lifepoint Counseling Center | |
1431 N Lake Dr Lexington SC 29072-7651 | |
(803) 808-9623 | |
Not Available |
Full Name | Lifepoint Counseling Center |
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Speciality | Community/behavioral Health |
Location | 1431 N Lake Dr, Lexington, South Carolina |
Authorized Official Name and Position | Mark Edward Tidsworth (DIRECTOR) |
Authorized Official Contact | 8038089623 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lifepoint Counseling Center 1431 N Lake Dr Lexington SC 29072-7651 Ph: (803) 808-9623 | Lifepoint Counseling Center 1431 N Lake Dr Lexington SC 29072-7651 Ph: (803) 808-9623 |
NPI Number | 1104061514 |
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Provider Enumeration Date | 12/15/2008 |
Last Update Date | 12/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104061514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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