| Crossing Waters, LLC | |
|
1 Chick Springs Rd Suite 215 Greenville SC 29609 | |
| (864) 546-0217 | |
| Not Available |
| Full Name | Crossing Waters, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 1 Chick Springs Rd, Greenville, South Carolina |
| Authorized Official Name and Position | Cynthia R Fitzsimmons (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 8645460217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossing Waters, LLC 9 Woodland Ln Greenville SC 29615 Ph: (864) 546-0217 | Crossing Waters, LLC 1 Chick Springs Rd Suite 215 Greenville SC 29609 Ph: (864) 546-0217 |
| NPI Number | 1477958213 |
|---|---|
| Provider Enumeration Date | 10/22/2014 |
| Last Update Date | 10/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477958213 | NPI | - | NPPES |
| PS0469 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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