| Bedrock Mental Health Llc | |
|
322 Memorial Dr Ste 105 Greer SC 29650-1521 | |
| (864) 214-5553 | |
| Not Available |
| Full Name | Bedrock Mental Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 322 Memorial Dr Ste 105, Greer, South Carolina |
| Authorized Official Name and Position | Emile Barrouk (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8642145553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bedrock Mental Health Llc Po Box 14 Laurens SC 29360-0014 Ph: (864) 214-5553 | Bedrock Mental Health Llc 322 Memorial Dr Ste 105 Greer SC 29650-1521 Ph: (864) 214-5553 |
| NPI Number | 1053141093 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 01/28/2025 |
| Certification Date | 01/28/2025 |
| Medicare PECOS PAC ID | 0547787525 |
|---|---|
| Medicare Enrollment ID | O20250505001270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053141093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Emile Andrew Barrouk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346479847 PECOS PAC ID: 5597904144 Enrollment ID: I20130612000200 |
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