PIECES 2 PEACE WELLNESS CENTER LLC NPI 1902403116

NPI Information

NPI: 1902403116
Provider Name: PIECES 2 PEACE WELLNESS CENTER, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1105 BELLEVIEW ST STE 103
COLUMBIA, SC
ZIP 29201
Phone: (803) 250-5198
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PIECES 2 PEACE WELLNESS CENTER, LLC is a mental health counselor in Columbia, SC. PIECES 2 PEACE WELLNESS CENTER, LLC NPI is 1902403116. The provider is registered as an organization entity type.

The provider's business location address is:

1105 BELLEVIEW ST STE 103
COLUMBIA, SC
ZIP 29201-839
Phone: (803) 250-5198

The provider's authorized official is Anna B. Gantt-gordon .
The authorized official title is Co-owner and has the following contact phone number (803) 250-5198.

The enumeration date for this NPI number is 10/1/2020 and was last updated on 10/1/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health				No
2	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	PC2197	MEDICAID	SOUTH CAROLINA
2	QMP000005514755	OTHER	SOUTH CAROLINA	MOLINA HEALTHCARE

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

NPI Synchronization or Removal

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