Table Rock Integrated Health And Wellness Practice, Llc.

LBN: Table Rock Integrated Health And Wellness Practice, Llc.
Table Rock Integrated Health And Wellness Practice, Llc. is an health care organization with primary practice located at 5 Center St , Travelers Rest SC 29690-1826. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Table Rock Integrated Health And Wellness Practice, Llc. can be contacted via phone (864) 908-6372, or through Dimitrova, Gergana Damianova via phone (864) 908-6372.

Contact Information

Primary practice address
5 Center St Travelers Rest SC 29690-1826
Phone: (864) 908-6372
Fax: (864) 898-3703
Website:
Map and Directions
Authorized official contact:
Name: Dimitrova, Gergana Damianova Doctor of Medicine (MD)
Phone: (864) 908-6372

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1223 South Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5825 South Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 30719 South Carolina
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 30719 South Carolina

Profile Details

NPI number 1104145184
LBN Legal business name Table Rock Integrated Health And Wellness Practice, Llc.
DBA Doing business as
Authorized official Dimitrova, Gergana Damianova Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2010
Last updated Mar 16th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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