Provider Demographics
NPI:1699533414
Name:SOCALM LLC
Entity type:Organization
Organization Name:SOCALM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:REAMER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:864-514-7759
Mailing Address - Street 1:14 TROLLINGWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:PELZER
Mailing Address - State:SC
Mailing Address - Zip Code:29669-9440
Mailing Address - Country:US
Mailing Address - Phone:864-514-7759
Mailing Address - Fax:
Practice Address - Street 1:14 TROLLINGWOOD WAY
Practice Address - Street 2:
Practice Address - City:PELZER
Practice Address - State:SC
Practice Address - Zip Code:29669-9440
Practice Address - Country:US
Practice Address - Phone:864-514-7759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty