Organization
ISUPPORT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BANKS (CEO)
(877) 636-8721
Entity
Organization
Contact information
Practice address
300 LIBERTY ST W, YORK, SC 29745-1459
(716) 587-1754
Mailing address
300 LIBERTY ST W, YORK, SC 29745-1459
(716) 587-1754
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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