WILLIAM J. MCCORD ADOLESCENT TREATMENT FACILITY NPI 1124764568

NPI Information

  • NPI: 1124764568
  • Provider Name: WILLIAM J. MCCORD ADOLESCENT TREATMENT FACILITY
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Address: 910 COOK RD
    ORANGEBURG, SC
    ZIP 29118
  • Phone: (803) 534-2328

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NPI Details

WILLIAM J. MCCORD ADOLESCENT TREATMENT FACILITY is a counselor in Orangeburg, SC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. WILLIAM J. MCCORD ADOLESCENT TREATMENT FACILITY NPI is 1124764568. The provider is registered as an organization entity type.

The provider's business location address is:

910 COOK RD
ORANGEBURG, SC
ZIP 29118-124
Phone: (803) 534-2328

The provider's authorized official is Mike Dennis .
The authorized official title is Director and has the following contact phone number (803) 534-2328.

The enumeration date for this NPI number is 5/9/2022 and was last updated on 5/9/2022.

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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2101Y00000XCounselorYes

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: 3/30/2025

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