| Mainstream Therapeutic Services Llc | |
|
4124 Clemson Blvd J Anderson SC 29621-1169 | |
| (864) 477-8128 | |
| Not Available |
| Full Name | Mainstream Therapeutic Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4124 Clemson Blvd, Anderson, South Carolina |
| Authorized Official Name and Position | Chaka Smith (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8643519434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mainstream Therapeutic Services Llc 713d E Greenville St #324 Anderson SC 29621-4838 Ph: () - | Mainstream Therapeutic Services Llc 4124 Clemson Blvd J Anderson SC 29621-1169 Ph: (864) 477-8128 |
| NPI Number | 1700281797 |
|---|---|
| Provider Enumeration Date | 11/03/2014 |
| Last Update Date | 11/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700281797 | NPI | - | NPPES |
| PC1156 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5343 (South Carolina) | Primary |
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