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NPI Code Detail

MEDICARE: SONGBIRD HEALTH SC LLC

MEDICARE: SONGBIRD HEALTH SC 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1659967172
Entity Type Code : Organization
Provider Name (Legal Business Name) : SONGBIRD HEALTH SC LLC
Provider Business Mailing Address
First Line : 460 KING ST STE 200
Second Line :
City : CHARLESTON
State : SC
Zip : 29403-6229
Country : US
Telephone Number : 803-866-1629
Fax Number : 833-392-1148
Provider Business Practice Location Address
First Line : 460 KING ST STE 200
Second Line :
City : CHARLESTON
State : SC
Zip : 29403-6229
Country : US
Telephone Number : 803-866-1629
Fax Number : 833-392-1148
Authorized Official
Title or Position : CO-FOUNDER
Name : BENJAMIN HSU
Credential :
Telephone Number : 571-244-4592
Provider Enumeration Date : 12/18/2020
Last Update Date : 02/15/2022

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Directions to “SONGBIRD HEALTH SC LLC ” Practice Location

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