MEDICARE: SPECTRA HEALTHCARE SERVICES 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
1	251S00000X	Community/Behavioral Health Agency		SC

General Provider Information

NPI Number	:	1720327422
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECTRA HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	5654 PRESCOTT CT
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-1330
Country	:	US
Telephone Number	:	803-236-7424
Fax Number	:

Provider Business Practice Location Address
First Line	:	2012 HIGHWAY 160 W
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-8401
Country	:	US
Telephone Number	:	803-236-7424
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. KIMBERLY LATRICE HASTIE
Credential	:
Telephone Number	:	803-236-7424

Provider Enumeration Date	:	01/31/2013
Last Update Date	:	01/31/2013

Similar Medicare Providers

1639842438 — MR. STEVEN TREATT PONCE JR. LPC, LCMHC
Practice Location Address:

2012 HIGHWAY 160 W STE 16
FORT MILL, SC
29708-8401

Practice Phone: 803-627-8478
Practice Fax:

1992881312 — MRS. SYLVIA S ROAN L.C.S.W., LISW-CP,
Practice Location Address:

2012 HIGHWAY 160 W , SUITE 2
FORT MILL, SC
29708-8401

Practice Phone: 704-236-9390
Practice Fax: 803-693-0701

1033357397 — COMPASSIONATE CARE, LLC
Practice Location Address:

2012 HIGHWAY 160 W , SUITE 4
FORT MILL, SC
29708-8401

Practice Phone: 803-578-9900
Practice Fax: 803-578-9901

1366768350 — ASSURANCE COMMUNITY LONG TERM CARE LLP
Practice Location Address:

2012 HIGHWAY 160 W
FORT MILL, SC
29708-8401

Practice Phone: 803-396-8950
Practice Fax:

1144658535 — ANDERSON COUNSELING AND EDUCATION
Practice Location Address:

2012 HIGHWAY 160 W , SUITE 16
FORT MILL, SC
29708-8401

Practice Phone: 314-494-9104
Practice Fax: 980-355-0769

1649601048 — MR. RAY ANDERSON JR. MPH, M.ED.
Practice Location Address:

2012 HIGHWAY 160 W , SUITE 16
FORT MILL, SC
29708-8401

Practice Phone: 980-404-2365
Practice Fax: 803-403-8916

Directions to “SPECTRA HEALTHCARE SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.