CAROLINA BEHAVIORAL HEALTH SERVICES (NPI# 1093258444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093258444 |
| Entity Type | Organization |
| Organization Name | CAROLINA BEHAVIORAL HEALTH SERVICES |
| Practice Address |
130 Broad St Sumter SC 29150-4237 |
| Practice Telephone | 8037744377 |
| Practice Fax Number | 8037744378 |
| Mailing Telephone | 8037744377 |
| Mailing Fax Number | 8037744378 |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |
| Authorized Official Name | MR. MICHEAL GEROD GORE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8034671263 |
| Authorized Official Credential | MSSA, LISW-CP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
130 BROAD ST |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-4237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740823160 | Kenya Renee Dennis | Counselor | 130 Broad St, Sumter, SC 29150-4237 | 2019-10-18 |
| 1407350010 | Candace Wynonia Cox | Counselor | 130 Broad St, Sumter, SC 29150-4237 | 2018-03-19 |
| 1427412162 | Micheal G Gore | Social Worker | 130 Broad St, Sumter, SC 29150-4237 | 2016-04-08 |
| 1154650166 | Terrance Wells | Counselor | 130 Broad St, Sumter, SC 29150-4237 | 2009-12-22 |
| 1952530727 | United Healthcare PC | Psychiatry & Neurology | 130 Broad St, Sumter, SC 29150-4237 | 2009-07-14 |
| 1770722738 | Cherilyn Taylor | Psychologist | 130 Broad St, Sumter, SC 29150-4237 | 2009-02-16 |
| 1679751127 | Family Support Services | Psychiatry & Neurology | 130 Broad St, Suite B, Sumter, SC 29150-4237 | 2008-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| Find all providers in zip 29150 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407333248 | Self Healing Empowerment LLC | Community/Behavioral Health | 1110 E Brewington Rd, Sumter, SC 29153-8963 | 2018-07-24 |
| 1407394281 | Single Parent Institute (spi) | Community/Behavioral Health | 546 S Pike W, Suite 4, Sumter, SC 29150-2616 | 2017-02-01 |
| 1164827408 | Pathways To Life, Inc | Community/Behavioral Health | 1155 N Guignard Dr, Suite 5, Sumter, SC 29150-1515 | 2014-10-29 |
| 1992047732 | Pearl for Pearls | Community/Behavioral Health | 730c Broad St, Sumter, SC 29150-3356 | 2013-03-19 |
| 1982910634 | Life Enhancement Services | Community/Behavioral Health | 455 Rast St, Suite A, Sumter, SC 29150-2579 | 2010-08-19 |
| 1609410539 | Luxe Level LLC | Community/Behavioral Health | 455 Rast St, Sumter, SC 29150-2579 | 2019-11-04 |
| 1932617784 | Gilead Behavioral Health | Community/Behavioral Health | 455 Rast St, Sumter, SC 29150-2579 | 2018-01-15 |
| 1548622004 | Epiphany Family Services LLC | Community/Behavioral Health | 212 Broad St, Sumter, SC 29150-4102 | 2016-03-24 |
| 1386039576 | Sumter Behavioral Health Services | Community/Behavioral Health | 441 N Main St, Sumter, SC 29150-4232 | 2015-04-03 |
| 1891186524 | Chosen Counseling Services LLC | Community/Behavioral Health | 18 Barnette Dr, Sumter, SC 29150-8004 | 2015-02-17 |
| Find all providers in SUMTER | ||||
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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.