Mind Body & Soul Behavioral Health And Wellness Llc | |
1365 Ebenezer Rd Rock Hill SC 29732-2336 | |
(803) 708-7556 | |
(803) 708-7801 |
Full Name | Mind Body & Soul Behavioral Health And Wellness Llc |
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Speciality | Community/behavioral Health |
Location | 1365 Ebenezer Rd, Rock Hill, South Carolina |
Authorized Official Name and Position | Shukairo M Baker (CEO) |
Authorized Official Contact | 9803098508 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mind Body & Soul Behavioral Health And Wellness Llc 1365 Ebenezer Rd Rock Hill SC 29732-2336 Ph: (803) 708-7556 | Mind Body & Soul Behavioral Health And Wellness Llc 1365 Ebenezer Rd Rock Hill SC 29732-2336 Ph: (803) 708-7556 |
NPI Number | 1154954634 |
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Provider Enumeration Date | 02/12/2020 |
Last Update Date | 02/12/2020 |
Certification Date | 02/12/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154954634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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