Provider Demographics
NPI:1336553346
Name:ANOTHER ONES TREASURES
Entity Type:Organization
Organization Name:ANOTHER ONES TREASURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:N
Authorized Official - Last Name:POUNDS
Authorized Official - Suffix:
Authorized Official - Credentials:MHRD
Authorized Official - Phone:803-448-4669
Mailing Address - Street 1:3302 SHERBORNE DR
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-8380
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3302 SHERBORNE DR
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29715-8380
Practice Address - Country:US
Practice Address - Phone:803-448-4669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health