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TABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE LLC. NPI 1104145184


NPI Information

NPI: 1104145184
Provider Name: TABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE, LLC.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
5 CENTER ST
TRAVELERS REST, SC
ZIP 29690
Phone: (864) 908-6372
Get Directions

TABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE, LLC. is a psychiatry psychiatry neurology in Travelers Rest, SC. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. TABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE, LLC. NPI is 1104145184. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5 CENTER ST
TRAVELERS REST, SC
ZIP 29690-826
Phone: (864) 908-6372
Fax: (864) 898-3703

The provider's authorized official is Gergana Damianova Dimitrova .
The authorized official title is Partner and has the following contact phone number (864) 908-6372.

The enumeration date for this NPI number is 5/31/2010 and was last updated on 3/16/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0805XPsychiatry & NeurologyGeriatric Psychiatry30719SOUTH CAROLINANo
21041C0700XSocial WorkerClinical5825SOUTH CAROLINANo
3101YP2500XCounselorProfessional1223SOUTH CAROLINANo
42084P0800XPsychiatry & NeurologyPsychiatry30719SOUTH CAROLINAYes

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

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