YOUTH FULL INNOVATIONS OF THE CAROLINA'S LLC NPI 1679137269

NPI Information

NPI: 1679137269
Provider Name: YOUTH FULL INNOVATIONS OF THE CAROLINA'S, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
151 COMMONS WAY STE C1
GREENVILLE, SC
ZIP 29611
Phone: (864) 326-5113
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YOUTH FULL INNOVATIONS OF THE CAROLINA'S, LLC is a mental health counselor in Greenville, SC. YOUTH FULL INNOVATIONS OF THE CAROLINA'S, LLC NPI is 1679137269. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

151 COMMONS WAY STE C1
GREENVILLE, SC
ZIP 29611-850
Phone: (864) 326-5113
Fax: (864) 397-4090

The provider's authorized official is Erica Denham .
The authorized official title is Owner and has the following contact phone number (864) 326-5113.

The enumeration date for this NPI number is 4/29/2019 and was last updated on 8/25/2023.

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	Primary
1	101YP2500X	Counselor	Professional	No
2	101YS0200X	Counselor	School	No
3	103K00000X	Behavior Analyst		No
4	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
5	103TC0700X	Psychologist	Clinical	No
6	106H00000X	Marriage & Family Therapist		No
7	171M00000X	Case Manager/Care Coordinator		No
8	251E00000X	Home Health		No
9	251S00000X	Community/Behavioral Health		No
10	291U00000X	Clinical Medical Laboratory		No
11	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		No
12	363LF0000X	Nurse Practitioner	Family	No
13	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
14	101YM0800X	Counselor	Mental Health	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	GP9178	MEDICAID	SOUTH CAROLINA
2	42D2212370	OTHER	SOUTH CAROLINA	CLIA

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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