| Isupport Therapy LLC | |
|
300 Liberty St W York SC 29745-1459 | |
| (716) 587-1754 | |
| Not Available |
| Full Name | Isupport Therapy LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 300 Liberty St W, York, South Carolina |
| Authorized Official Name and Position | Michael Banks (CEO) |
| Authorized Official Contact | 8776368721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isupport Therapy LLC 300 Liberty St W York SC 29745-1459 Ph: (716) 587-1754 | Isupport Therapy LLC 300 Liberty St W York SC 29745-1459 Ph: (716) 587-1754 |
| NPI Number | 1306439393 |
|---|---|
| Provider Enumeration Date | 02/19/2021 |
| Last Update Date | 02/19/2021 |
| Certification Date | 02/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306439393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Secondary |
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