Provider Type Icon

OCTAVIA & MAIN LLC NPI 1174170542


NPI Information

NPI: 1174170542
Provider Name: OCTAVIA & MAIN, LLC
Classification: Occupational Therapist - 225XM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1131 QUEENSBOROUGH BLVD STE 100
MT PLEASANT, SC
ZIP 29464
Phone: (843) 606-6223
Get Directions

OCTAVIA & MAIN, LLC is a mental health occupational therapist in Mt Pleasant, SC. The provider is occupational therapists provide treatment for people recovering from a mental or physical illness to regain their independence and stability and to engage in normal daily occupations (work, home, family life, school, leisure). Occupational therapists provide particular emphasis on interventions that result in improved quality of life and decrease hospitalization. OCTAVIA & MAIN, LLC NPI is 1174170542. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1131 QUEENSBOROUGH BLVD STE 100
MT PLEASANT, SC
ZIP 29464-430
Phone: (843) 606-6223

The provider's authorized official is Marc A. Brooks .
The authorized official title is Member and has the following contact phone number (919) 986-2962.

The enumeration date for this NPI number is 8/21/2019 and was last updated on 8/21/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225XM0800XOccupational TherapistMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.