| Djsav Enterprises Llc | |
|
22 E Indian Trl Taylors SC 29687-5127 | |
| (864) 525-3624 | |
| (864) 263-3230 |
| Full Name | Djsav Enterprises Llc |
|---|---|
| Speciality | Counselor |
| Location | 22 E Indian Trl, Taylors, South Carolina |
| Authorized Official Name and Position | Joanne Marie Masters (OWNER) |
| Authorized Official Contact | 8645253624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Djsav Enterprises Llc Po Box 1077 Taylors SC 29687-0022 Ph: (864) 525-3624 | Djsav Enterprises Llc 22 E Indian Trl Taylors SC 29687-5127 Ph: (864) 525-3624 |
| NPI Number | 1285402032 |
|---|---|
| Provider Enumeration Date | 12/12/2023 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/12/2023 |
| Medicare PECOS PAC ID | 0345684973 |
|---|---|
| Medicare Enrollment ID | O20240222000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285402032 | NPI | - | NPPES |
| PC1050 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Joanne Marie Masters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326052150 PECOS PAC ID: 1254775885 Enrollment ID: I20240222000011 |
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