| Truth Behavioral Health Services, Llc | |
|
100 Stone Village Dr Ste 212 Fort Mill SC 29708 | |
| (803) 741-5840 | |
| Not Available |
| Full Name | Truth Behavioral Health Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 100 Stone Village Dr Ste 212, Fort Mill, South Carolina |
| Authorized Official Name and Position | Ebony Dechelle Wiggins (OWNER/ OFFICE MANAGER) |
| Authorized Official Contact | 8037415840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Truth Behavioral Health Services, Llc 100 Stone Village Dr Ste 212 Fort Mill SC 29708-6589 Ph: (803) 741-5840 | Truth Behavioral Health Services, Llc 100 Stone Village Dr Ste 212 Fort Mill SC 29708 Ph: (803) 741-5840 |
| NPI Number | 1528428851 |
|---|---|
| Provider Enumeration Date | 02/29/2016 |
| Last Update Date | 10/25/2021 |
| Certification Date | 10/25/2021 |
| Medicare PECOS PAC ID | 2264787886 |
|---|---|
| Medicare Enrollment ID | O20180621001474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528428851 | NPI | - | NPPES |
| GP7224 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Andrietta Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043648140 PECOS PAC ID: 4385875673 Enrollment ID: I20140331000976 |
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