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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE, LLC.

Active Organization

TABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE, LLC. is a Psychiatry organization located in TRAVELERS REST, South Carolina. NPI 1104145184 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · TRAVELERS REST, SC

Registration Details

NPI Number
1104145184
Provider Type
Organization
NPI Issued
May 31, 2010 (16.018055688257 yrs)
Last Updated
Mar 16, 2020
Licenses
30719 (SC)
5825 (SC)
1223 (SC)
30719 (SC)

Practice Information

Address
5 CENTER ST
TRAVELERS REST, SC, 296901826
Browse SC providers · Browse ZIP 29690
Phone
8649086372
Fax
8648983703
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Clinical Social Worker
Additional Specialty
Professional Counselor
Additional Specialty
Psychiatry
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.