PSYCHIATRIC ASSOCIATES OF SPARTANBURG PA NPI 1558499426

NPI Information

NPI: 1558499426
Provider Name: PSYCHIATRIC ASSOCIATES OF SPARTANBURG, PA
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
943 N CHURCH ST
SPARTANBURG, SC
ZIP 29303
Phone: (864) 585-2214
Get Directions

PSYCHIATRIC ASSOCIATES OF SPARTANBURG, PA is a professional counselor in Spartanburg, SC. PSYCHIATRIC ASSOCIATES OF SPARTANBURG, PA NPI is 1558499426. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

943 N CHURCH ST
SPARTANBURG, SC
ZIP 29303-712
Phone: (864) 585-2214
Fax: (864) 585-5608

The provider's authorized official is Kenneth W Wells .
The authorized official title is Owner and has the following contact phone number (864) 585-2214.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	2064	SOUTH CAROLINA	Yes
2	106H00000X	Marriage & Family Therapist		1304	SOUTH CAROLINA	X
3	2084P0800X	Psychiatry & Neurology	Psychiatry	06871	SOUTH CAROLINA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	068713	MEDICAID	SOUTH CAROLINA

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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