Organization
BASK PSYCHOLOGICAL SERVICES
Active
Organization
BASK PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS SANDERS PH.D. (LICENSED CLINICAL PSYCHOLOGIST)
(843) 621-0263
Entity
Organization
Contact information
Practice address
522 S COIT ST, FLORENCE, SC 29501-5221
(843) 621-0263
(843) 536-8522
Mailing address
401 W CHEVES ST, FLORENCE, SC 29501-4446
(843) 621-0263
(843) 536-8522
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TH0004X
Health Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS5060
—
SC
Enumeration date
01/24/2019
Last updated
10/02/2025
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