| Outside Of The Box Therapy | |
|
206 W Meadow St Gaffney SC 29341-2350 | |
| (864) 597-9493 | |
| (864) 206-4563 |
| Full Name | Outside Of The Box Therapy |
|---|---|
| Speciality | Counselor |
| Location | 206 W Meadow St, Gaffney, South Carolina |
| Authorized Official Name and Position | Christie Rogers Larke (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8645979493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Outside Of The Box Therapy Po Box 170581 Spartanburg SC 29301-0029 Ph: (864) 597-2054 | Outside Of The Box Therapy 206 W Meadow St Gaffney SC 29341-2350 Ph: (864) 597-9493 |
| NPI Number | 1386190288 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 07/29/2025 |
| Certification Date | 07/29/2025 |
| Medicare PECOS PAC ID | 4183166424 |
|---|---|
| Medicare Enrollment ID | O20240603000936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386190288 | NPI | - | NPPES |
| PC1250 | Medicaid | SC |
| Provider Name | Christie Rogers-larke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477849933 PECOS PAC ID: 5092257337 Enrollment ID: I20240603001198 |
| Provider Name | Brandon Christopher Dill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891247870 PECOS PAC ID: 8426579616 Enrollment ID: I20250304002507 |
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