Organization
AIKEN PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE J KNAPIK-SMITH APRN (PRESIDENT)
(803) 642-3801
Entity
Organization
Contact information
Practice address
33 VARDEN DR, AIKEN, SC 29803-5285
(803) 642-3801
(803) 642-5538
Mailing address
PO BOX 7337, 33VARDEN DRIVE, AIKEN, SC 29804-7337
(803) 642-3801
(803) 642-5538
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
APN567
SC
364S00000X
Clinical Nurse Specialist
Primary
APN567
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1019
—
SC
Enumeration date
03/25/2008
Last updated
05/15/2008
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