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Organization
ADDICTIONOLOGY ASSOCIATES LLC
Active
Organization
ADDICTIONOLOGY ASSOCIATES LLC
Active
Parent organization
ADDICTIONOLOGY ASSOCIATES
Other names
A New Crossroad
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADDICTIONOLOGY ASSOCIATES
Authorized official
KENDALL DORIE FNP (CLINICAL DIRECTOR)
(864) 295-1280
Entity
Organization
Contact information
Practice address
206 WALL ST STE 2, PIEDMONT, SC 29673-6754
(864) 295-1280
Mailing address
206 WALL ST STE 2, PIEDMONT, SC 29673-6754
(864) 295-1280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/18/2021
Last updated
07/27/2021
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