AUTISM ACADEMY OF SOUTH CAROLINA (NPI# 1184984742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184984742 |
| Entity Type | Organization |
| Organization Name | AUTISM ACADEMY OF SOUTH CAROLINA |
| Practice Address |
2243 Percival Rd Columbia SC 29223-4021 |
| Mailing Address |
Po Box 7514 Columbia SC 29202-7514 |
| Practice Telephone | 8037907997 |
| Practice Fax Number | 8035206531 |
| Mailing Telephone | 8037907997 |
| Mailing Fax Number | 8035206531 |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |
| Authorized Official Name | MRS. LORRI SHEALY UNUMB (BOARD CHAIR) |
| Authorized Official Telephone | 8035829905 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023476280 | Autism Academy of South Carolina | Speech-Language Pathologist | 1505 Blanding St, Columbia, SC 29201-2906 | 2016-02-03 |
| Street Address |
2243 PERCIVAL RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-4021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1043821911 | Be Still and Heal, LLC | Clinic/Center | 221 Hillsborough Rd, Columbia, SC 29212-3639 | 2020-08-13 |
| 1265915649 | Elite Care Family Services | Clinic/Center | 716 Paces Run Ct, Columbia, SC 29223-7949 | 2018-09-11 |
| 1447512892 | Carolina Child Psychiatry, Pa | Clinic/Center | 1911 Barnwell St Ste A, Columbia, SC 29201-2605 | 2012-06-12 |
| 1114055076 | Burrell, Inc. | Clinic/Center | 3301 Berrywood Dr Ste 101, Columbia, MO 65201-6517 | 2007-03-01 |
| 1710481676 | Fatima Hartman | Clinic/Center | 2715 Colonial Dr, Columbia, SC 29203-6818 | 2018-03-23 |
| 1730609140 | Kimberly C. Walker, M.d. | Clinic/Center | 10630 Little Patuxent Pkwy Ste 313, Columbia, MD 21044-6216 | 2017-06-27 |
| 1700337698 | Life Renewal Services | Clinic/Center | 10805 Hickory Ridge Rd, Suite 103, Columbia, MD 21044-3626 | 2016-10-17 |
| 1215243803 | Brother2brother | Clinic/Center | 3031 Scotsman Rd, Columbia, SC 29223-1812 | 2010-08-20 |
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| 1932724028 | Balancing Eden Counseling LLC | Clinic/Center | 2607 Woodruff Rd Ste E-1069, Simpsonville, SC 29681-4803 | 2020-06-15 |
| 1720602758 | End-list Possibilities, LLC | Clinic/Center | 2375 E Main St Ste A105, Spartanburg, SC 29307-1400 | 2020-06-05 |
| 1356997746 | Palmetto Therapist LLC | Clinic/Center | 2437c Mineral Springs Rd, Lexington, SC 29072-9145 | 2019-08-13 |
| 1720551070 | Inspirational Hope, LLC | Clinic/Center | 232 15-401 E Bypass, Bennettsville, SC 29512-4440 | 2019-01-09 |
| 1821337098 | Behavioral Health Services LLC | Clinic/Center | 7320 College St, Suite 102, Irmo, SC 29063-2944 | 2013-02-07 |
| 1184855876 | Coastal Adolescent Behavioral Health | Clinic/Center | 1135 Bowman Rd Ste 529c, Mount Pleasant, SC 29464-3205 | 2009-07-29 |
| 1649436015 | Lighthouse Care Center of Oconee | Clinic/Center | 391 White Rock Rd, Tamassee, SC 29686-2015 | 2008-08-05 |
| 1487751517 | St.germain Smith, LLC | Clinic/Center | 260 Seven Farms Dr Ste E, Daniel Island, SC 29492-8207 | 2006-09-20 |
| 1992808471 | Oasis Christian Counseling Inc | Clinic/Center | 117 East Main St, Moncks Corner, SC 29461 | 2006-09-07 |
| Find all providers with the same taxonomy | ||||
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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.