EAGLE THERAPEUTIC SERVICES LLC NPI 1083381297

NPI Information

NPI: 1083381297
Provider Name: EAGLE THERAPEUTIC SERVICES LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1565 EBENEZER RD STE 102
ROCK HILL, SC
ZIP 29732
Phone: (980) 643-1148
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EAGLE THERAPEUTIC SERVICES LLC is a mental health (including community mental health center) clinic center in Rock Hill, SC. EAGLE THERAPEUTIC SERVICES LLC NPI is 1083381297. The provider is registered as an organization entity type.

The provider's business location address is:

1565 EBENEZER RD STE 102
ROCK HILL, SC
ZIP 29732-494
Phone: (980) 643-1148

The provider's authorized official is Paul Maurice Ewing .
The authorized official title is Owner/manager and has the following contact phone number (980) 643-1148.

The enumeration date for this NPI number is 8/25/2021 and was last updated on 8/31/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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