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THE MARY JENKINS CENTER FOR BEHAVIORAL HEALTH LLC NPI 1205979630


NPI Information

NPI: 1205979630
Provider Name: THE MARY JENKINS CENTER FOR BEHAVIORAL HEALTH LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
3300 W MONTAGUE AVE
BLDG A SUITE 203
NORTH CHARLESTON, SC
ZIP 29418
Phone: (843) 740-6999
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THE MARY JENKINS CENTER FOR BEHAVIORAL HEALTH LLC is a psychiatry psychiatry neurology in North Charleston, SC. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. THE MARY JENKINS CENTER FOR BEHAVIORAL HEALTH LLC NPI is 1205979630. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3300 W MONTAGUE AVE
BLDG A SUITE 203
NORTH CHARLESTON, SC
ZIP 29418-916
Phone: (843) 740-6999
Fax: (843) 740-5433

The provider's authorized official is James Edward Jenkins .
The authorized official title is Owner and has the following contact phone number (843) 740-6999.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 4/7/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health9864SOUTH CAROLINANo
22084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11861499816OTHERSOUTH CAROLINAINDIVIDUAL NPI

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: 11/14/2023

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