OrganizationActive
Family Stabilizations LLC
NPI 1235219841 · Clinical Child & Adolescent Psychologist · Sumter, SC
Provider details
- NPI number
- 1235219841
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Gerod Gore, Executive Director(803) 467-1263
- License
- 1040 (SC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
504 Miller Rd
Sumter, SC 29150-3366
Phone: (803) 467-1263
Fax: (803) 234-6434
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7357
Sumter, SC 29150
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.