Provider Demographics
NPI:1346592656
Name:STARS MENTORING SERVICES
Entity Type:Organization
Organization Name:STARS MENTORING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-277-0838
Mailing Address - Street 1:254 KILLARNEY TRL
Mailing Address - Street 2:
Mailing Address - City:MONCKS CORNER
Mailing Address - State:SC
Mailing Address - Zip Code:29461-8836
Mailing Address - Country:US
Mailing Address - Phone:843-277-0838
Mailing Address - Fax:
Practice Address - Street 1:254 KILLARNEY TRL
Practice Address - Street 2:
Practice Address - City:MONCKS CORNER
Practice Address - State:SC
Practice Address - Zip Code:29461-8836
Practice Address - Country:US
Practice Address - Phone:843-277-0838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health