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INNER PEACE BEHAVIORAL HEALTH NPI 1487882924


NPI Information

NPI: 1487882924
Provider Name: INNER PEACE BEHAVIORAL HEALTH
Classification: Social Worker - 104100000X
Entity Type: Organization
Address:
801 12TH AVE S
STE B
NORTH MYRTLE BEACH, SC
ZIP 29582
Phone: (843) 663-0828
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INNER PEACE BEHAVIORAL HEALTH is a social worker in North Myrtle Beach, SC. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. INNER PEACE BEHAVIORAL HEALTH NPI is 1487882924. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

801 12TH AVE S
STE B
NORTH MYRTLE BEACH, SC
ZIP 29582-765
Phone: (843) 663-0828
Fax: (843) 663-0828

The provider's authorized official is Bevin Nixon .
The authorized official title is Therapist & Owner and has the following contact phone number (609) 803-3077.

The enumeration date for this NPI number is 6/23/2009 and was last updated on 3/6/2024.


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
1104100000XSocial WorkerYes
21041C0700XSocial WorkerClinicalNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SW1065MEDICAIDSOUTH 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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.