Organization
LIFE LINKS BEHAVIORAL AND MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMIQUIA T. SIMON (CHIEF EXECUTIVE OFFICER)
(843) 616-4225
Entity
Organization
Contact information
Practice address
503 E MAIN STREET, PAMPLICO, SC 29583
(843) 616-4225
(843) 589-1248
Mailing address
928 HILLSIDE DR, PAMPLICO, SC 29583-6810
(843) 616-4225
(843) 589-1248
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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