Healthcare Provider Details

I. General information

NPI: 1376943977
Provider Name (Legal Business Name): TSS SOLUTIONS GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2014
Last Update Date: 09/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3634 GABLE TER
FLORENCE SC
29505-7209
US

IV. Provider business mailing address

3634 GABLE TER
FLORENCE SC
29505-7209
US

V. Phone/Fax

Practice location:
  • Phone: 252-945-9286
  • Fax: 252-459-2311
Mailing address:
  • Phone: 252-945-9286
  • Fax: 252-459-2311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: TIFFANY LATREST HEDGEPETH
Title or Position: OWNER
Credential:
Phone: 252-945-9286