| Surpass Behavioral Health | |
|
1345 Companion Ct Sumter SC 29150-1749 | |
| (615) 569-1314 | |
| (615) 577-5654 |
| Full Name | Surpass Behavioral Health |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1345 Companion Ct, Sumter, South Carolina |
| Authorized Official Name and Position | Jessica Kirk (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 6158805782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surpass Behavioral Health Po Box 931142 Atlanta GA 31193-1142 Ph: (615) 696-6761 | Surpass Behavioral Health 1345 Companion Ct Sumter SC 29150-1749 Ph: (615) 569-1314 |
| NPI Number | 1417477175 |
|---|---|
| Provider Enumeration Date | 06/23/2017 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417477175 | NPI | - | NPPES |
| W07744SC1 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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