Healthcare Provider Details

I. General information

NPI: 1992163067
Provider Name (Legal Business Name): SS SOLUTIONS GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2016
Last Update Date: 02/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 E EVANS ST STE D17
FLORENCE SC
29506-5502
US

IV. Provider business mailing address

181 E EVANS ST STE D17
FLORENCE SC
29506-5502
US

V. Phone/Fax

Practice location:
  • Phone: 843-230-1946
  • Fax:
Mailing address:
  • Phone: 843-230-1946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHELIA GREEN BURGESS
Title or Position: OWNER
Credential: M.ED., BSW
Phone: 843-230-1946