Vermell Sistrunk in Orangeburg - Mental Health
Vermell Sistrunk - NPI 1588698484
Vermell Sistrunk is a Mental Health in Orangeburg, South Carolina. Vermell Sistrunk practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Vermell Sistrunk is 1588698484. The last update date is 2007-07-08.
Vermell Sistrunk's current location address is 2319 St Matthews Road, Orangeburg, South Carolina. You can contact this provider via phone number 8035361571 and fax number 8035361463. The mailing address for Vermell Sistrunk is 2319 St Matthews Road, Orangeburg, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vermell Sistrunk |
|---|---|
| Address | 2319 St Matthews Road, Orangeburg, South Carolina |
| Phone Number | 8035361571 |
| Fax Number | 8035361463 |
| Sole Proprietor | N |
| Credentials | MA REHAB C |
NPI Number Detail
| NPI Number | 1588698484 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2319 St Matthews Road |
|---|---|
| City | Orangeburg |
| State | South Carolina (SC) |
| Post Code | 29118 |
| Phone Number | 8035361571 |
| Fax Number | 8035361463 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 413093 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Vermell Sistrunk by the Centers for Medicare & Medicaid Services?
The Vermell Sistrunk has been issued the NPI (National Provider Identifier) 1588698484 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Vermell Sistrunk is located?
The Vermell Sistrunk is situated at the following address: 2319 St Matthews Road, Orangeburg, SC, 29118.
What is Vermell Sistrunk's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Vermell Sistrunk is Mental Health, and the taxonomy code that categorizes this field of expertise is 101Ym0800X.
On what date did the Vermell Sistrunk receive its 1588698484 assignment from the Centers for Medicare & Medicaid Services?
The Vermell Sistrunk was assigned its 1588698484 by the Centers for Medicare & Medicaid Services on 2006-07-10.
As of what date were the details pertaining to Vermell Sistrunk last refreshed?
The information related to the Vermell Sistrunk, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN