| Universal Therapeutic Services, Llc. | |
|
103 Lydia St Greenville SC 29605-1240 | |
| (864) 380-5587 | |
| (864) 484-8688 |
| Full Name | Universal Therapeutic Services, Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 103 Lydia St, Greenville, South Carolina |
| Authorized Official Name and Position | Tiffney Davidson Parker (FOUNDER/OWNER) |
| Authorized Official Contact | 8645401209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Therapeutic Services, Llc. Po Box 8303 Greenville SC 29604-8303 Ph: (864) 380-5587 | Universal Therapeutic Services, Llc. 103 Lydia St Greenville SC 29605-1240 Ph: (864) 380-5587 |
| NPI Number | 1285146613 |
|---|---|
| Provider Enumeration Date | 10/25/2017 |
| Last Update Date | 05/23/2023 |
| Certification Date | 05/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285146613 | NPI | - | NPPES |
| GP8170 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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