Provider Demographics
NPI:1528224284
Name:SENSORY FOR SUCCESS LLC
Entity Type:Organization
Organization Name:SENSORY FOR SUCCESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMFORDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-319-5813
Mailing Address - Street 1:245 BUSINESS PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-9659
Mailing Address - Country:US
Mailing Address - Phone:843-319-5813
Mailing Address - Fax:803-462-2007
Practice Address - Street 1:245 BUSINESS PARK BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-9659
Practice Address - Country:US
Practice Address - Phone:843-319-5813
Practice Address - Fax:803-462-2007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty