| The Lakehouse, Llc | |
|
1545 Wateree Dam Rd Ridgeway SC 29130-9162 | |
| (803) 272-0412 | |
| (803) 272-0412 |
| Full Name | The Lakehouse, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1545 Wateree Dam Rd, Ridgeway, South Carolina |
| Authorized Official Name and Position | Barry D Brown (CEO) |
| Authorized Official Contact | 8033310658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lakehouse, Llc 1545 Wateree Dam Rd Ridgeway SC 29130-9162 Ph: (803) 272-0412 | The Lakehouse, Llc 1545 Wateree Dam Rd Ridgeway SC 29130-9162 Ph: (803) 272-0412 |
| NPI Number | 1386955524 |
|---|---|
| Provider Enumeration Date | 06/22/2010 |
| Last Update Date | 06/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386955524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6042 (South Carolina) | Primary |
Brown And Drake, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 Wateree Dam Rd, Ridgeway, SC 29130 Phone: 803-272-0412 Fax: 803-272-0412 | |
The Autism Behavior Connection Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Stephanee Ln, Ridgeway, SC 29130 Phone: 803-546-6922 |