Mainstream Therapeutic Services Llc

LBN: Mainstream Therapeutic Services Llc
Mainstream Therapeutic Services Llc is an health care organization with primary practice located at 4124 Clemson Blvd J, Anderson SC 29621-1169. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Mainstream Therapeutic Services Llc can be contacted via phone (864) 477-8128, or through Smith, Chaka via phone (864) 351-9434.

Contact Information

Primary practice address
4124 Clemson Blvd J Anderson SC 29621-1169
Phone: (864) 477-8128
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Chaka Licensed Professional Counselor (LPC)
Phone: (864) 351-9434

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 5343 South Carolina

Profile Details

NPI number 1700281797
LBN Legal business name Mainstream Therapeutic Services Llc
DBA Doing business as
Authorized official Smith, Chaka Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2014
Last updated Nov 3rd, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700281797 NPPES
South Carolina MEDICAID PC1156

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