Provider Demographics
NPI:1508135112
Name:SOCIAL SERVICE COMPLIANCE, LLC
Entity Type:Organization
Organization Name:SOCIAL SERVICE COMPLIANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:B
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP/AP
Authorized Official - Phone:864-230-5475
Mailing Address - Street 1:603 FOXHOUND CT
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29680-6710
Mailing Address - Country:US
Mailing Address - Phone:864-230-5475
Mailing Address - Fax:864-963-8291
Practice Address - Street 1:603 FOXHOUND CT
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29680-6710
Practice Address - Country:US
Practice Address - Phone:864-230-5475
Practice Address - Fax:864-963-8291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4817251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1437477478OtherNPI I
SC1437477478Medicaid