Organization
PSYCHIATRYSPACE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STELLA BASSEY MD (MEDICAL DIRECTOR)
(540) 250-6776
Entity
Organization
Contact information
Practice address
410 UNIVERSITY PARKWAY, SUITE 2300, AIKEN, SC 29801-6807
(540) 250-6776
(540) 382-1517
Mailing address
19 PAVILION LAKE RD, NORTH AUGUSTA, SC 29860-7520
(540) 204-8111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/22/2025
Last updated
03/22/2025
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