| Mindshifters Solution LLC | |
|
437 Laurens Ave S Fairfax SC 29827-5302 | |
| (803) 824-9558 | |
| Not Available |
| Full Name | Mindshifters Solution LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 437 Laurens Ave S, Fairfax, South Carolina |
| Authorized Official Name and Position | Yulandar Sue Simmons (OWNER) |
| Authorized Official Contact | 8038249558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindshifters Solution LLC 437 Laurens Ave S Fairfax SC 29827-5302 Ph: (803) 824-9558 | Mindshifters Solution LLC 437 Laurens Ave S Fairfax SC 29827-5302 Ph: (803) 824-9558 |
| NPI Number | 1861263089 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 01/16/2024 |
| Certification Date | 01/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861263089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Secondary |
One Step at a Time Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 168 14 St W, Fairfax, SC 29827 Phone: 843-301-3470 |