Provider Demographics
NPI:1750558862
Name:STRESS MANAGEMENT CENTER, LLC
Entity type:Organization
Organization Name:STRESS MANAGEMENT CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:R
Authorized Official - Last Name:DIAMANT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC,LISW
Authorized Official - Phone:864-225-0792
Mailing Address - Street 1:PO BOX 1424
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29622-1424
Mailing Address - Country:US
Mailing Address - Phone:864-225-0792
Mailing Address - Fax:864-226-3968
Practice Address - Street 1:1115 DUNLAP RD
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-2501
Practice Address - Country:US
Practice Address - Phone:864-225-0792
Practice Address - Fax:864-226-3968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center