CAROLINA BEHAVIORAL HEALTHCARE LLC NPI 1174045710

NPI Information

NPI: 1174045710
Provider Name: CAROLINA BEHAVIORAL HEALTHCARE LLC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Organization

Specialization: Acute Care

CLIA Number: 42D2214399

Address:
505 WOODLAND DR
KERSHAW, SC
ZIP 29067
Phone: (803) 283-7465
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CAROLINA BEHAVIORAL HEALTHCARE LLC is an acute care nurse practitioner in Kershaw, SC. CAROLINA BEHAVIORAL HEALTHCARE LLC NPI is 1174045710. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

505 WOODLAND DR
KERSHAW, SC
ZIP 29067-704
Phone: (803) 283-7465

The provider's authorized official is Sheresa Blackmon Catoe .
The authorized official title is Aprn and has the following contact phone number (803) 283-7465.

The CLIA number assigned to this NPI record is 42D2214399 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2017 and was last updated on 6/16/2018.

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	363LA2100X	Nurse Practitioner	Acute Care	18183	SOUTH CAROLINA	Yes

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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