| Seed Harvest Time Residential Behavioral Services, Llc | |
|
209 Hampton Ave Kingstree SC 29556-3415 | |
| (843) 401-0005 | |
| (843) 401-0006 |
| Full Name | Seed Harvest Time Residential Behavioral Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 209 Hampton Ave, Kingstree, South Carolina |
| Authorized Official Name and Position | Rosalind Gamble (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8433197843 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seed Harvest Time Residential Behavioral Services, Llc 444 Manning Hwy Greeleyville SC 29056-9299 Ph: (843) 319-7843 | Seed Harvest Time Residential Behavioral Services, Llc 209 Hampton Ave Kingstree SC 29556-3415 Ph: (843) 401-0005 |
| NPI Number | 1376976837 |
|---|---|
| Provider Enumeration Date | 08/19/2013 |
| Last Update Date | 08/19/2013 |
| Medicare PECOS PAC ID | 6406261254 |
|---|---|
| Medicare Enrollment ID | O20210209001577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376976837 | NPI | - | NPPES |
| 1396044988 | Other | SC | NPI |
| 131BHS | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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