INTREPID CCE LLC NPI 1184451411

NPI Information

  • NPI: 1184451411
  • Provider Name: INTREPID CCE, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 6715 STATE PARK RD
    TRAVELERS REST, SC
    ZIP 29690
  • Phone: (864) 707-1160

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NPI Details

INTREPID CCE, LLC is a mental health counselor in Travelers Rest, SC. INTREPID CCE, LLC NPI is 1184451411. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6715 STATE PARK RD
TRAVELERS REST, SC
ZIP 29690-831
Phone: (864) 707-1160

The provider's authorized official is Norma Bedell .
The authorized official title is Owner/organizor and has the following contact phone number (864) 404-7824.

The enumeration date for this NPI number is 9/19/2024 and was last updated on 9/19/2024.

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
1101YM0800XCounselorMental HealthYes
2101YP2500XCounselorProfessionalNo
3106H00000XMarriage & Family TherapistNo
4390200000XStudent in an Organized Health Care Education/Training ProgramNo

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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