STATEWIDE OUTREACH PROJECT LLC NPI 1043320146

NPI Information

  • NPI: 1043320146
  • Provider Name: STATEWIDE OUTREACH PROJECT LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 396 SAINT PAUL ST
    SUITE 1111 CAROLINA OFFICE BUILDING
    ORANGEBURG, SC
    ZIP 29115
  • Phone: (888) 992-5534

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NPI Details

STATEWIDE OUTREACH PROJECT LLC is a community behavioral health in Orangeburg, SC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. STATEWIDE OUTREACH PROJECT LLC NPI is 1043320146. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

396 SAINT PAUL ST
SUITE 1111 CAROLINA OFFICE BUILDING
ORANGEBURG, SC
ZIP 29115-465
Phone: (888) 992-5534
Fax: (866) 408-8142

The provider's authorized official is Juenarrl Keith .
The authorized official title is Executive Minister and has the following contact phone number (843) 993-5534.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 4/20/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2104100000XSocial WorkerNo
32084P0800XPsychiatry & NeurologyPsychiatryNo
4251S00000XCommunity/Behavioral HealthYes

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: 11/21/2025

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