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SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE NPI 1558983254


NPI Information

NPI: 1558983254
Provider Name: SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

Doing Business As: SYNERGY HEALTH & WELLNESS AT CATAWBA CMHC

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 42D1089404

Address:
205 PIEDMONT BLVD STE 100
ROCK HILL, SC
ZIP 29732
Phone: (803) 327-2012
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SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE is a nurse practitioner in Rock Hill, SC. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE NPI is 1558983254. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Synergy Health & Wellness At Catawba Cmhc.

The provider's business location address is:

205 PIEDMONT BLVD STE 100
ROCK HILL, SC
ZIP 29732-836
Phone: (803) 327-2012

The provider's authorized official is Tracy L Turner .
The authorized official title is Controller and has the following contact phone number (803) 898-8503.

The CLIA number assigned to this NPI record is 42D1089404 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2020 and was last updated on 6/2/2020.


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
1363L00000XNurse PractitionerYes

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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