Provider Demographics
NPI:1427736404
Name:TRUSTED RESULTS THERAPY GROUP LLC
Entity type:Organization
Organization Name:TRUSTED RESULTS THERAPY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALISTS
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-373-4395
Mailing Address - Street 1:1071 SEA EAGLE WATCH
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-8252
Mailing Address - Country:US
Mailing Address - Phone:843-793-2104
Mailing Address - Fax:843-654-4850
Practice Address - Street 1:2000 SAM RITTENBURG BLVD
Practice Address - Street 2:SUITE 2011
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-4631
Practice Address - Country:US
Practice Address - Phone:843-793-2104
Practice Address - Fax:843-654-4850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No251B00000XAgenciesCase Management