National Provider Identifier Database

TABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE LLC
Psychiatry

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.


Contact Information

TABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE, LLC.
5 CENTER ST
TRAVELERS REST, SC29690-1826
Phone: 864-908-6372
Fax: 864-898-3703
Website:
Specialty Taxonomy Code
* Psychiatry 2084P0800X
Clinical 1041C0700X
Geriatric Psychiatry 2084P0805X
Professional 101YP2500X

* Indicates primary specialty

NPI Profile & details for TABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE, LLC.

NPI Number 1104145184
Legal business name
LBN
TABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE, LLC.
Authorized official GERGANA DIMITROVA - (PARTNER)
Entity Organization
Organization subpart No
Enumeration date 05/31/2010
Last updated 03/16/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 1223
  • SC License #: 30719
  • SC License #: 5825

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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