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NPI Code Detail

MEDICARE: TRUSTED RESULTS THERAPY GROUP LLC

MEDICARE: TRUSTED RESULTS THERAPY GROUP LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2104100000XSocial Worker
3251B00000XCase Management Agency
4251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1427736404
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRUSTED RESULTS THERAPY GROUP LLC
Provider Business Mailing Address
First Line : 1071 SEA EAGLE WATCH
Second Line :
City : CHARLESTON
State : SC
Zip : 29412-8252
Country : US
Telephone Number : 843-793-2104
Fax Number : 843-654-4850
Provider Business Practice Location Address
First Line : 2000 SAM RITTENBURG BLVD
Second Line : SUITE 2011
City : CHARLESTON
State : SC
Zip : 29407-4631
Country : US
Telephone Number : 843-793-2104
Fax Number : 843-654-4850
Authorized Official
Title or Position : CREDENTIALING SPECIALISTS
Name : KIMBERLY DAVIS
Credential :
Telephone Number : 912-373-4395
Provider Enumeration Date : 07/10/2023
Last Update Date : 09/26/2024

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Directions to “TRUSTED RESULTS THERAPY GROUP LLC ” Practice Location

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