| Silver Birch Wellness LLC | |
|
531 Oxford St Ste C-6 Sumter SC 29150-3300 | |
| (803) 968-4222 | |
| Not Available |
| Full Name | Silver Birch Wellness LLC |
|---|---|
| Speciality | Social Worker |
| Location | 531 Oxford St Ste C-6, Sumter, South Carolina |
| Authorized Official Name and Position | Regina Lee-carter (AUTHORIZED OFFICIAL/OWNER) |
| Authorized Official Contact | 8039684222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Birch Wellness LLC 531 Oxford St Ste C-6 Sumter SC 29150-3300 Ph: (803) 968-4222 | Silver Birch Wellness LLC 531 Oxford St Ste C-6 Sumter SC 29150-3300 Ph: (803) 968-4222 |
| NPI Number | 1740912476 |
|---|---|
| Provider Enumeration Date | 06/30/2022 |
| Last Update Date | 06/30/2022 |
| Certification Date | 06/30/2022 |
| Medicare PECOS PAC ID | 5890171052 |
|---|---|
| Medicare Enrollment ID | O20220926003600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740912476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Regina Lee-carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629436480 PECOS PAC ID: 6709262967 Enrollment ID: I20220926003624 |
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