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MOOKIES PLACE NPI 1285110957


NPI Information

NPI: 1285110957
Provider Name: MOOKIES PLACE

Doing Business As: MOOKIES PLACE YOUTH AND FAMILY PROGRAM

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
501 W MEETING ST
LANCASTER, SC
ZIP 29720
Phone: (803) 285-8589
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MOOKIES PLACE is a community behavioral health in Lancaster, SC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MOOKIES PLACE NPI is 1285110957. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Mookies Place Youth And Family Program.

The provider's business location address is:

501 W MEETING ST
LANCASTER, SC
ZIP 29720-323
Phone: (803) 285-8589
Fax: (704) 919-5055

The provider's authorized official is Letisha Lynn Smalls .
The authorized official title is President and has the following contact phone number (803) 285-8589.

The enumeration date for this NPI number is 7/16/2018 and was last updated on 3/15/2019.


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
1101Y00000XCounselorNo
2251B00000XCase ManagementNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)SOUTH CAROLINANo
4251300000XLocal Education Agency (LEA)No
5251S00000XCommunity/Behavioral 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

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