BRIAN L MAXWELL (NPI# 1134467061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134467061 |
| Entity Type | Individual |
| Full Name | BRIAN L MAXWELL |
| Credential | CACII, NCACI |
| Practice Address |
23 Daniel Morrall Ln Georgetown SC 29440-6888 |
| Practice Telephone | 8433442975 |
| Mailing Telephone | 8433442975 |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
013885 | SC | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1301178 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CACII | 1301178 | 01 |
| SC | NCACI | 013885 | 01 |
| Street Address |
23 DANIEL MORRALL LN |
| City | GEORGETOWN |
| State | SC |
| Zip Code | 29440-6888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
| 1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
| 1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
| 1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
| 1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
| 1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
| 1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
| 1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
| Find all providers in zip 29440 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083272041 | Nicole Jane Tableriou | Counselor | 2011 Fountainwood Dr, Georgetown, TX 78633-1907 | 2019-06-04 |
| 1174041917 | Anika Stewart | Counselor | 20505 Dupont Blvd Unit 1, Georgetown, DE 19947-3173 | 2017-08-31 |
| 1023568698 | Michelle Faith Muncy | Counselor | 168 Hemingway Pl, Georgetown, KY 40324-2318 | 2016-10-07 |
| 1346631512 | Counseling Association of Lexington | Counselor | 203 Champion Way Ste 7, Georgetown, KY 40324-8861 | 2015-02-10 |
| 1073851846 | Richard A Frasier | Counselor | 2919 Mary Hines Ln, Georgetown, SC 29440-4339 | 2013-01-29 |
| 1932474871 | Sharon L. Pulattie | Counselor | 2508 Williams Dr Ste 225, Georgetown, TX 78628-3235 | 2012-03-10 |
| 1467756916 | Monica Lynn Himes | Counselor | 111 N Colonial Heights Dr, Georgetown, KY 40324-2569 | 2010-12-27 |
| 1235442013 | Crystal R Mayfield | Counselor | 3107 Cincinnati Rd, Georgetown, KY 40324-9505 | 2010-07-21 |
| 1467770719 | Amanda N Ward-harwell | Counselor | 20728 Dupont Blvd, Georgetown, DE 19947-3199 | 2010-05-12 |
| 1558684803 | Norma Lee Knowles | Counselor | 20707 Dupont Blvd, Georgetown, DE 19947-3171 | 2010-03-01 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 29440 |
Please comment or provide details below to improve the information on BRIAN L MAXWELL.
| 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.