| Stonewall Counseling Services, LLC | |
|
409 Saddlebrooke Rd Lexington SC 29072-7854 | |
| (803) 240-8310 | |
| (803) 526-7628 |
| Full Name | Stonewall Counseling Services, LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 409 Saddlebrooke Rd, Lexington, South Carolina |
| Authorized Official Name and Position | Omar Troutman (OWNER) |
| Authorized Official Contact | 8032408310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonewall Counseling Services, LLC 409 Saddlebrooke Rd Lexington SC 29072-7854 Ph: (803) 240-8310 | Stonewall Counseling Services, LLC 409 Saddlebrooke Rd Lexington SC 29072-7854 Ph: (803) 240-8310 |
| NPI Number | 1265208235 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265208235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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