Organization
LIFECARE PSYCHOLOGY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH RAINWATER IV PSYD (MANAGING PARTNER)
(843) 667-4949
Entity
Organization
Contact information
Practice address
549 W EVANS ST, FLORENCE, SC 29501-3407
(843) 667-4949
(843) 667-3349
Mailing address
549 W EVANS ST, FLORENCE, SC 29501-3407
(843) 667-4949
(843) 667-3349
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC9436
METRAHEALTH GROUP NUMBER
SC
Enumeration date
10/03/2006
Last updated
04/27/2024
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