| Next Phase Llc | |
|
227 Devon Dr Mauldin SC 29662-1915 | |
| (864) 414-3619 | |
| Not Available |
| Full Name | Next Phase Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 227 Devon Dr, Mauldin, South Carolina |
| Authorized Official Name and Position | Cori Evans (OWNER) |
| Authorized Official Contact | 8644143619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Next Phase Llc 227 Devon Dr Mauldin SC 29662-1915 Ph: (864) 414-3619 | Next Phase Llc 227 Devon Dr Mauldin SC 29662-1915 Ph: (864) 414-3619 |
| NPI Number | 1447834551 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 05/06/2021 |
| Certification Date | 05/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447834551 | NPI | - | NPPES |
| 1528477734 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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