| Theresa's Way | |
|
928 Hillside Dr Pamplico SC 29583-6810 | |
| (843) 616-4225 | |
| (843) 589-1248 |
| Full Name | Theresa's Way |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 928 Hillside Dr, Pamplico, South Carolina |
| Authorized Official Name and Position | Tamiquia Tyesha Simon (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8436164225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa's Way 928 Hillside Dr Pamplico SC 29583-6810 Ph: (843) 616-4225 | Theresa's Way 928 Hillside Dr Pamplico SC 29583-6810 Ph: (843) 616-4225 |
| NPI Number | 1497361448 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 09/16/2020 |
| Certification Date | 09/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497361448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Life Links Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 928 Hillside Dr, Pamplico, SC 29583 Phone: 843-616-4225 | |
Life Links Behavioral And Medical Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 E Main Street, Pamplico, SC 29583 Phone: 843-616-4225 Fax: 843-589-1248 |