| The Mediation And Family Services Center, Inc. | |
|
2025 Ebenezer Rd Suite J-2 Rock Hill SC 29732-1062 | |
| (803) 366-2525 | |
| (803) 366-2527 |
| Full Name | The Mediation And Family Services Center, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2025 Ebenezer Rd, Rock Hill, South Carolina |
| Authorized Official Name and Position | Renda Kay Faulkenberry (PRESIDENT/THERAPIST) |
| Authorized Official Contact | 8033662525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mediation And Family Services Center, Inc. 2025 Ebenezer Rd Suite J-2 Rock Hill SC 29732-1062 Ph: (803) 366-2525 | The Mediation And Family Services Center, Inc. 2025 Ebenezer Rd Suite J-2 Rock Hill SC 29732-1062 Ph: (803) 366-2525 |
| NPI Number | 1376724070 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 12/11/2007 |
| Medicare PECOS PAC ID | 2961583877 |
|---|---|
| Medicare Enrollment ID | O20080117000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376724070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6922 (South Carolina) | Primary |
| Provider Name | Renda Kay Faulkenberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346311339 PECOS PAC ID: 5991694937 Enrollment ID: I20040315001124 |
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