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EMERGE ESSENTIALS LLC NPI 1598117152


NPI Information

NPI: 1598117152
Provider Name: EMERGE ESSENTIALS, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1612 MARION ST
SUITE 313
COLUMBIA, SC
ZIP 29201
Phone: (803) 298-8356
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EMERGE ESSENTIALS, LLC is a mental health (including community mental health center) clinic center in Columbia, SC. EMERGE ESSENTIALS, LLC NPI is 1598117152. The provider is registered as an organization entity type.

The provider's business location address is:

1612 MARION ST
SUITE 313
COLUMBIA, SC
ZIP 29201-939
Phone: (803) 298-8356

The provider's authorized official is Michelle G Drayton .
The authorized official title is Licensed Professional Counselor/ceo and has the following contact phone number (803) 238-5063.

The enumeration date for this NPI number is 7/7/2016 and was last updated on 7/7/2016.


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
1261QS1200XClinic/CenterSleep Disorder Diagnostic5337SOUTH CAROLINANo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)5337SOUTH CAROLINAYes

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
1PC1160MEDICAIDSOUTH 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

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