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ROYAL IVEY WELLNESS INC. NPI 1174043558


NPI Information

NPI: 1174043558
Provider Name: ROYAL IVEY WELLNESS, INC.

Doing Business As: KEYSHA A. REYNOLDS

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2712 MIDDLEBURG DR STE 206
COLUMBIA, SC
ZIP 29204
Phone: (803) 757-4325
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ROYAL IVEY WELLNESS, INC. is a community behavioral health in Columbia, 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. ROYAL IVEY WELLNESS, INC. NPI is 1174043558. The provider is registered as an organization entity type.
The provider Is Doing Business As Keysha A. Reynolds.

The provider's business location address is:

2712 MIDDLEBURG DR STE 206
COLUMBIA, SC
ZIP 29204-415
Phone: (803) 757-4325

The provider's authorized official is Keysha Reynolds .
The authorized official title is Counselor/owner and has the following contact phone number (803) 747-4325.

The enumeration date for this NPI number is 6/26/2017 and was last updated on 6/26/2017.


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
1251S00000XCommunity/Behavioral Health6380SOUTH 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
1PC1741MEDICAIDSOUTH 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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