FLORENCE COUNTY COMMISSION ON ALCOHOL AND DRU


Address: 601 Greg Avenue, Florence, SC 29501
Phone: 8436653928

FLORENCE COUNTY COMMISSION ON ALCOHOL AND DRU (NPI# 1114922283) 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) 1114922283
Entity Type Organization
Organization Name FLORENCE COUNTY COMMISSION ON ALCOHOL AND DRU
Other Organization Name CIRCLE PARK BEHAVIORAL HEALTH SERVICES
Practice Address 601 Greg Avenue
Florence
SC 29501
Mailing Address Po Box 6196
Florence
SC 29502
Practice Telephone 8436653928
Practice Fax Number 8436671615
Mailing Telephone 8436653929
Mailing Fax Number 8436671615
Enumeration Date 2005-06-16
Last Update Date 2009-11-06
Authorized Official Name MR. WILLIAM RUSSELL TERRELL JR. (DEPUTY CEO)
Authorized Official Telephone 8436659349
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
SC AD04FL 05

Other Provider/Organization Names

Other Name Type Code
Circle Park Behavioral Health Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1447583984 Florence County Commission On Alcohol and Dru Community/Behavioral Health 601 Gregg Avenue, Florence, SC 29501 2009-09-16

Office Location

Street Address 601 GREG AVENUE
City FLORENCE
State SC
Zip Code 29501

Providers in the same zip code

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 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437698081 Sober Living Solutions Substance Abuse Rehabilitation Facility 2528 W Palmetto St, Florence, SC 29501-5926 2017-02-15
1801331699 Mission of Mercy, Inc. (moms, Inc.) Substance Abuse Rehabilitation Facility 414 E Tuscaloosa St, Florence, AL 35630-4726 2017-01-03
1235554395 Owl's Club International Substance Abuse Rehabilitation Facility 2528 W Palmetto St, Florence, SC 29501-5926 2014-02-26
1477997898 Casey Watts Substance Abuse Rehabilitation Facility 1430 S Cashua Dr, Florence, SC 29501-6323 2013-04-29
1720422140 Ryan G Koon Substance Abuse Rehabilitation Facility 1430 S Cashua Dr, Florence, SC 29501-6323 2013-04-29
1164570503 Addiction & Mental Health Services, LLC Substance Abuse Rehabilitation Facility 303 E College St, Florence, AL 35630-5709 2007-01-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972143485 Landmark Recovery of Columbia LLC Substance Abuse Rehabilitation Facility 140 Flora Dr, Columbia, SC 29223-5814 2020-01-13
1457800310 Summit Bhc Cameron, LLC Substance Abuse Rehabilitation Facility 5401 Netherby Ln Ste 402, North Charleston, SC 29420-7363 2016-10-03
1235686833 Summit Bhc Cameron, LLC Substance Abuse Rehabilitation Facility 499 Wild Hearts Road, Cameron, SC 29030 2016-09-01
1659776664 Katonya Alford Substance Abuse Rehabilitation Facility 505 N 5th Ave, Dillon, SC 29536-2815 2014-11-03
1609008713 Steve Austin Facility of Charleston Substance Abuse Rehabilitation Facility 1383 Remount Rd, North Charleston, SC 29406-3345 2009-08-23
1063681591 Givebac Incorporated Substance Abuse Rehabilitation Facility 1481 Ted Melton Rd, Chesterfield, SC 29709-6313 2008-02-28
1134158231 Horry County Comm On Alcohol & Drug Abuse Substance Abuse Rehabilitation Facility 2404 Wise Rd, Conway, SC 29526-5521 2006-07-01
1770572448 Tri-county County Commission On Alcohol and Drug Abuse Substance Abuse Rehabilitation Facility 910 Cook Rd, Orangeburg, SC 29118-2124 2005-10-17
1487653606 Beaufort County Alcohol & Drug Abuse Department Substance Abuse Rehabilitation Facility 1905 Duke St, Ste 270, Beaufort, SC 29902-4403 2005-07-19
1861496234 Department of Alcohol and Other Drug Abuse Services Substance Abuse Rehabilitation Facility 5 Charleston Center Dr, Charleston, SC 29401-1162 2005-06-13
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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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