MR. HENRY BERNARD BACKUS


Address: 2109 New Hope Dr, Florence, SC 29501-1415
Phone: 8436640295

MR. HENRY BERNARD BACKUS (NPI# 1083734768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083734768
Entity Type Individual
Full Name MR. HENRY BERNARD BACKUS
Practice Address 2109 New Hope Dr
Florence
SC 29501-1415
Practice Telephone 8436640295
Mailing Telephone 8436640295
Enumeration Date 2007-03-29
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC 376241 05

Office Location

Street Address 2109 NEW HOPE DR
City FLORENCE
State SC
Zip Code 29501-1415

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NPI Name Taxonomy Address Enumeration
1700350444 Angel Edwards Brown Nurse Practitioner Mcleod Health, 555 East Cheves Street, Florence, SC 29501 2019-01-16
1497229124 Fred L. Evans IIi Physical Therapy Assistant 2439 Willwood Dr., Florence, SC 29501 2019-01-16
1841715596 Faith Hope Love Homecare Home Health 604 S. Coit Street, Florence, SC 29501 2017-08-03
1083156350 Karen Artis-bacote Nurse Practitioner 3835 Susan Dr, Florence, SC 29501 2016-11-17
1992251581 Higher Ground Christian Counseling Service, LLC Counselor 1801 D West Evans Street, Florence, SC 29501 2016-09-01
1952752818 Jack Carter Shackelford Chiropractor 311 West Palmetto Street, Florence, SC 29501 2016-06-22
1750743506 Profection Therapy LLC Clinic/Center 315d North Beltline Dr., Florence, SC 29501 2016-03-22
1386002467 Bergelt Optometric LLC Optometrist 2672 David Mcleod Blvd, Florence, SC 29501 2016-02-04
1437531993 Sherika Tarshall Stuckey Nurse Practitioner 720 Coventry Lane, Apt C, Florence, SC 29501 2015-06-22
1245610062 Christopher Tyree Podiatrist 709 W Evans St, Florence, SC 29501 2015-06-06
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1477179315 Fredna Leigh Georgen Counselor 615 Highway 469 N, Florence, MS 39073-8928 2020-06-16
1053944066 Janice C Lemon Counselor 128 Beechtree Ln, Florence, MS 39073-8246 2020-02-18
1346880531 Rachel E Belue Counselor 409 N. Court Street, Florence, AL 35630 2020-01-15
1902443450 Unalome Counseling & Consulting Counselor 2222 Chisholm Rd Ste 14, Florence, AL 35630-1346 2019-12-03
1528614591 Therapy Village LLC Counselor 2081 Florence Blvd, Florence, AL 35630-2751 2019-08-14
1922565399 Lrb Youth Development Counselor 3654 S Irby St, Florence, SC 29505-5225 2019-02-21
1659879559 Christina Shrader Counselor 71 Cavalier Blvd Ste 113, Florence, KY 41042 2018-01-25
1538674494 Northampton Center for Couples Therapy, LLC Counselor 40 Main St Ste 206, Florence, MA 01062-3100 2017-12-13
1679087357 Heather Marie Lodwig Counselor 20075 Old Us Highway 93, Florence, MT 59833-6000 2017-11-17
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Competitor

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City FLORENCE
Zip Code 29501

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Dataset Information

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.

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