MISS KELLY MOZELLE BOLLINGER (NPI# 1043564453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043564453 |
| Entity Type | Individual |
| Full Name | MISS KELLY MOZELLE BOLLINGER |
| Credential | M.ED. LPC CACII |
| Practice Address |
735 Mcmillan Rd Clemson SC 29634-4022 |
| Mailing Address |
1901 Edgewood Ave Anderson SC 29625-3541 |
| Practice Telephone | 8646562451 |
| Practice Fax Number | 8646560760 |
| Mailing Telephone | 8645252197 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2013-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 5043 | SC | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1102244 | SC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
5043 | SC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
5043 | SC | Behavioral Health & Social Service Providers |
| Street Address |
735 MCMILLAN RD |
| City | CLEMSON |
| State | SC |
| Zip Code | 29634-4022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457329021 | Kathryn D Barden | Emergency Medicine | 735 Mcmillan Rd, Clemson, SC 29634-3706 | 2006-03-09 |
| 1871108761 | Chuck Andrew Hennes | Pharmacist | 735 Mcmillan Rd, Clemson, SC 29634-0001 | 2020-09-09 |
| 1003350281 | Redfern Health Center | Clinic/Center | 735 Mcmillan Rd, Clemson, SC 29634-4054 | 2016-12-07 |
| 1457600264 | Ronda Sims Mcwhorter | Pharmacist | 735 Mcmillan Rd, Clemson University, Clemson, SC 29634-4054 | 2012-09-07 |
| 1073861951 | Kevin Mckinley Tabb Jr. | Psychologist | 735 Mcmillan Rd, Clemson, SC 29634-1463 | 2012-08-27 |
| 1245527175 | Allison Honea | Nurse Practitioner | 735 Mcmillan Rd, Clemson, SC 29634-4054 | 2011-06-29 |
| 1265679526 | Lisa Alaine Arthur-banning | Nurse Practitioner | 735 Mcmillan Rd, Clemson, SC 29634-1497 | 2009-01-08 |
| 1235259870 | Annette Whelchel Jackson | Nurse Practitioner | 735 Mcmillan Rd, Clemson, SC 29634-0001 | 2007-03-29 |
| 1356469431 | William Victor Griffith | General Practice | 735 Mcmillan Rd, Clemson, SC 29634-4054 | 2007-03-27 |
| 1376669184 | Clemson University | Pharmacy | 735 Mcmillan Rd, Clemson University, Clemson, SC 29634-0001 | 2007-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215304928 | Hui-lin Tsai | Acupuncturist | 101 Edwards Hall, Clemson, SC 29634 | 2015-08-28 |
| 1619529708 | Kelly Leahy Turney | Specialist/Technologist | 100 Perimeter Dr, Clemson, SC 29634-0001 | 2019-07-10 |
| 1710461132 | Wade Hampton Shugart Iv | Clinic/Center | 205 Fike Rec Center, Clemson, SC 29634-0001 | 2018-09-21 |
| 1417484502 | Alora Marie Sullivan | Specialist/Technologist | 310 Perimeter Rd, Clemson, SC 29634-0001 | 2017-05-19 |
| 1548612823 | Gage Nathaniel Berry | Specialist/Technologist | 110 Heisman St, Clemson, SC 29634-0001 | 2016-07-11 |
| 1174974687 | Cherrish Megan Kyle | Nurse Practitioner | Edwards Hall 101 Mcmillan Rd, Clemson, SC 29634-0001 | 2016-06-27 |
| 1720442528 | University Physical Therapy and Sports Medicine, Inc. | Clinic/Center | 205 Fike Rec Ctr, Clemson, SC 29634-0001 | 2016-04-07 |
| 1043627342 | Jeffie Trammell | Specialist/Technologist | 301 Centennial Blvd, Clemson, SC 29634-0001 | 2014-07-18 |
| 1871800219 | Clemson University Joseph F. Sullivan Center | Clinic/Center | 201 Epsilon Zeta Dr, 101 Edwards Hall, Clemson, SC 29634-0001 | 2010-09-07 |
| 1013038298 | Rosanne Harkey Pruitt | Nurse Practitioner | Sullivan Ctr, 106 Edwards Hall, Clemson, SC 29634-0001 | 2007-04-03 |
| Find all providers in zip 29634 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160388 | Michelle Colson | Counselor | 251 Carolina Cir, Walterboro, SC 29488-7206 | 2020-10-05 |
| 1750996880 | Tamela Johnson | Counselor | 1439 Thunderbolt Drive Walterboro, Sc 29488, 1439 Thunderbolt Drive Walterboro, Sc 29488, Walterboro, SC 29488 | 2020-09-15 |
| 1437761160 | From Surviving To Thriving, LLC | Counselor | 35 Parris Island Gtwy # 104, Beaufort, SC 29906-4244 | 2020-08-24 |
| 1477163616 | Amber's Hope, LLC | Counselor | 2065 Lavington Ct, Rock Hill, SC 29732-7519 | 2020-08-03 |
| 1083222327 | Amanda Jordan | Counselor | 112 Eston Dr, Goose Creek, SC 29445-7131 | 2020-07-22 |
| 1306454970 | Kirk Evans | Counselor | 3670 Shiloh Unity Rd, Lancaster, SC 29720-7323 | 2020-07-20 |
| 1841818770 | Private Matters Counseling Services, LLC | Counselor | 316 Palmetto St Ste 2, Bennettsville, SC 29512-2528 | 2020-07-07 |
| 1457972523 | Ivan Ronnie Quan | Counselor | 221 Adley Way, Greenville, SC 29607-6511 | 2020-04-30 |
| 1184259228 | Wanda Kirkland | Counselor | 1578 Clarence Coker Hwy, Turbeville, SC 29162-9419 | 2020-03-09 |
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.