| Upstate Assessment Group Llc | |
|
115 Southport Rd Ste F Spartanburg SC 29306-3814 | |
| (864) 707-5477 | |
| Not Available |
| Full Name | Upstate Assessment Group Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 115 Southport Rd Ste F, Spartanburg, South Carolina |
| Authorized Official Name and Position | Tamara Siders (CEO) |
| Authorized Official Contact | 8645082105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Assessment Group Llc 115 Southport Rd Ste F Spartanburg SC 29306-3814 Ph: () - | Upstate Assessment Group Llc 115 Southport Rd Ste F Spartanburg SC 29306-3814 Ph: (864) 707-5477 |
| NPI Number | 1720473978 |
|---|---|
| Provider Enumeration Date | 04/04/2015 |
| Last Update Date | 04/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720473978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5470 (South Carolina) | Primary |
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