| Tamarah Staschiak Services, Llc | |
|
251 Clover Rd Leesville SC 29070-7739 | |
| (803) 687-1584 | |
| Not Available |
| Full Name | Tamarah Staschiak Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 251 Clover Rd, Leesville, South Carolina |
| Authorized Official Name and Position | Tamarah Staschiak (CLINICAL COUNSELOR) |
| Authorized Official Contact | 4105625491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamarah Staschiak Services, Llc 1431 Denny Rd Columbia SC 29203-2521 Ph: () - | Tamarah Staschiak Services, Llc 251 Clover Rd Leesville SC 29070-7739 Ph: (803) 687-1584 |
| NPI Number | 1124436928 |
|---|---|
| Provider Enumeration Date | 07/25/2014 |
| Last Update Date | 07/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124436928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5625 (South Carolina) | Primary |
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