IT'S YOUR MOVE NPI 1568114999

NPI Information

NPI: 1568114999
Provider Name: IT'S YOUR MOVE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 01D2300454

Address:
425 SUMMIT TERRACE CT STE 7B
COLUMBIA, SC
ZIP 29229
Phone: (877) 471-9865
Get Directions

IT'S YOUR MOVE is a primary care clinic center in Columbia, SC. IT'S YOUR MOVE NPI is 1568114999. The provider is registered as an organization entity type.

The provider's business location address is:

425 SUMMIT TERRACE CT STE 7B
COLUMBIA, SC
ZIP 29229-055
Phone: (877) 471-9865
Fax: (803) 335-5343

The provider's authorized official is Deeneka Lachelle Beach-phelps .
The authorized official title is Ceo and has the following contact phone number (877) 471-9865.

The CLIA number assigned to this NPI record is 01D2300454 - other - behavioral health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2022 and was last updated on 1/26/2022.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GP8718	MEDICAID	SOUTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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