| Susan Lea, Llc | |
|
101 N Pine St Ste 415f Spartanburg SC 29302-1685 | |
| (864) 406-5774 | |
| Not Available |
| Full Name | Susan Lea, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 N Pine St Ste 415f, Spartanburg, South Carolina |
| Authorized Official Name and Position | Susan Lea (OWNER, PRINCIPAL, THERAPIST) |
| Authorized Official Contact | 8644065774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Lea, Llc 101 N Pine St Ste 415f Spartanburg SC 29302-1685 Ph: (864) 406-5774 | Susan Lea, Llc 101 N Pine St Ste 415f Spartanburg SC 29302-1685 Ph: (864) 406-5774 |
| NPI Number | 1174103543 |
|---|---|
| Provider Enumeration Date | 04/10/2021 |
| Last Update Date | 04/10/2021 |
| Certification Date | 04/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174103543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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