| Stephanie Warren Psychotherapy Services | |
|
850 Wade Hampton Blvd Ste C Greenville SC 29609-4947 | |
| (864) 640-1542 | |
| Not Available |
| Full Name | Stephanie Warren Psychotherapy Services |
|---|---|
| Speciality | Social Worker |
| Location | 850 Wade Hampton Blvd Ste C, Greenville, South Carolina |
| Authorized Official Name and Position | Stephanie Warren (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8646401542 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Warren Psychotherapy Services 850c Wade Hampton Blvd Ste 1-f Greenville SC 29609-4942 Ph: () - | Stephanie Warren Psychotherapy Services 850 Wade Hampton Blvd Ste C Greenville SC 29609-4947 Ph: (864) 640-1542 |
| NPI Number | 1063173755 |
|---|---|
| Provider Enumeration Date | 01/04/2022 |
| Last Update Date | 01/04/2022 |
| Certification Date | 01/04/2022 |
| Medicare PECOS PAC ID | 9133516198 |
|---|---|
| Medicare Enrollment ID | O20220422000415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063173755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stephanie Ramey Warren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922495480 PECOS PAC ID: 5991139248 Enrollment ID: I20191219003044 |
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