Provider Demographics
NPI:1285470443
Name:ASSURE THERAPY CENTER LLC
Entity type:Organization
Organization Name:ASSURE THERAPY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDERMOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:843-595-6004
Mailing Address - Street 1:101 PRATHER PARK DR STE D
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29588-3701
Mailing Address - Country:US
Mailing Address - Phone:843-595-6004
Mailing Address - Fax:
Practice Address - Street 1:101 PRATHER PARK DR STE D
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29588-3701
Practice Address - Country:US
Practice Address - Phone:843-595-6004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-06
Last Update Date:2024-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)