TABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE, LLC. (NPI# 1104145184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104145184 |
| Entity Type | Organization |
| Organization Name | TABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE, LLC. |
| Practice Address |
5 Center St Travelers Rest SC 29690-1826 |
| Practice Telephone | 8649086372 |
| Practice Fax Number | 8648983703 |
| Mailing Telephone | 8649086372 |
| Mailing Fax Number | 8648983703 |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2020-03-16 |
| Authorized Official Name | MRS. GERGANA DAMIANOVA DIMITROVA (PARTNER) |
| Authorized Official Telephone | 8649086372 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
30719 | SC | Allopathic & Osteopathic Physicians |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
5825 | SC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
1223 | SC | Behavioral Health & Social Service Providers |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
30719 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
5 CENTER ST |
| City | TRAVELERS REST |
| State | SC |
| Zip Code | 29690-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275014276 | Heidi E. Rinehart | Counselor | 5 Center St, Travelers Rest, SC 29690-1826 | 2018-08-27 |
| 1487176210 | Jodi Brook Cain | Social Worker | 5 Center St, Travelers Rest, SC 29690-1826 | 2017-07-13 |
| 1770791311 | Pamela Amatucci | Social Worker | 5 Center St, Travelers Rest, SC 29690-1826 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063709 | Act Medical Transport Services LLC | Private Vehicle | 316 Poplar St Ext, Travelers Rest, SC 29690 | 2020-11-04 |
| 1881180297 | Tonya Cheeks | Home Health Aide | 20 S Poinsett Hwy Ste C, Travelers Rest, SC 29690 | 2018-07-09 |
| 1811391683 | Dialysis Newco, Inc | Clinic/Center | 36 South Main Street, Travelers Rest, SC 29690 | 2014-10-22 |
| 1356762835 | Maura Smith | Pharmacist | 1500 Seer Highway Ingles Pharmacy, Travelers Rest, SC 29690 | 2013-12-30 |
| 1174873400 | Regena Leeann Morgan | Pharmacist | 200 Hwy 25 North, Travelers Rest, SC 29690 | 2012-09-13 |
| 1316187040 | William Matthew Fisher | Psychiatry & Neurology | One Havenwood Lane, Travelers Rest, SC 29690 | 2009-02-20 |
| 1437303625 | Deborah Ann Arnold | Speech-Language Pathologist | 130 Echo Lane, Travelers Rest, SC 29690 | 2008-11-14 |
| 1124299375 | Preserve Health, Pa | Family Medicine | 135 Botanical Circle, Travelers Rest, SC 29690 | 2008-03-17 |
| 1962627372 | Mcleskey Todd Pharmacy of Travelers Rest, Inc | Durable Medical Equipment & Medical Supplies | 32 South Main St, Travelers Rest, SC 29690 | 2007-04-13 |
| 1730231408 | Jon Michael Julian | Dentist | 125 Botanical Circle, Travelers Rest, SC 29690 | 2007-01-16 |
| Find all providers in zip 29690 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316187040 | William Matthew Fisher | Psychiatry & Neurology | One Havenwood Lane, Travelers Rest, SC 29690 | 2009-02-20 |
| 1922316512 | Chestnut Hill Mental Health Center, Inc. | Psychiatry & Neurology | 1 Havenwood Ln, Travelers Rest, SC 29690-9447 | 2010-09-17 |
| 1366682841 | Francis Robert Peluso | Psychiatry & Neurology | 1 Havenwood Ln, Travelers Rest, SC 29690-9447 | 2009-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072601 | A'nucare | Psychiatry & Neurology | 708 Pearl St, Darlington, SC 29532-3842 | 2020-08-04 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1942825484 | Amelia Katherine Watson | Psychiatry & Neurology | 2 Ehrhardt Street, Msc 861, Charleston, SC 29495 | 2020-06-10 |
| 1043835879 | Vida Gholami Yousefian | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-08 |
| 1518591858 | Awakenings Psychiatric Services, PC | Psychiatry & Neurology | 1010 E North St Ste 1a, Greenville, SC 29601-3166 | 2020-02-25 |
| 1841835212 | Lauren Elisabeth Collins | Psychiatry & Neurology | 1404 Cilantro Ct, Tega Cay, SC 29708-0133 | 2019-11-08 |
| 1063061620 | Hopefull Counseling and Psychiatry LLC | Psychiatry & Neurology | 1421 Calhoun St, Columbia, SC 29201-2509 | 2019-09-06 |
| 1396306767 | Charles Francis Palmer IIi | Psychiatry & Neurology | 2 Ehrhardt St, Charleston, SC 29425-0001 | 2019-06-25 |
| Find all providers with the same taxonomy | ||||
| City | TRAVELERS REST |
| Zip Code | 29690 |
Please comment or provide details below to improve the information on TABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE, LLC..
| 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.