| Sarah Sudol LLC | |
|
1420 Ebenezer Rd Ste 101 Rock Hill SC 29732-2774 | |
| (843) 229-2839 | |
| Not Available |
| Full Name | Sarah Sudol LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1420 Ebenezer Rd Ste 101, Rock Hill, South Carolina |
| Authorized Official Name and Position | Sarah Sudol (LICENSED CLINICAL COUNSELOR) |
| Authorized Official Contact | 8432292839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Sudol LLC 1420 Ebenezer Rd Ste 101 Rock Hill SC 29732-2774 Ph: (843) 229-2839 | Sarah Sudol LLC 1420 Ebenezer Rd Ste 101 Rock Hill SC 29732-2774 Ph: (843) 229-2839 |
| NPI Number | 1588379960 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 01/19/2023 |
| Certification Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588379960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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