| Mangum Behavioral Associates, Pa | |
|
7c Cleveland Ct Greenville SC 29607-2414 | |
| (864) 360-4341 | |
| (864) 239-6968 |
| Full Name | Mangum Behavioral Associates, Pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7c Cleveland Ct, Greenville, South Carolina |
| Authorized Official Name and Position | Harrison Mangum Kisner (OWNER) |
| Authorized Official Contact | 8643604341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mangum Behavioral Associates, Pa 7c Cleveland Ct Greenville SC 29607-2414 Ph: (864) 360-4341 | Mangum Behavioral Associates, Pa 7c Cleveland Ct Greenville SC 29607-2414 Ph: (864) 360-4341 |
| NPI Number | 1861607574 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 07/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861607574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 006453 (South Carolina) | Primary |
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