SELF HEALING EMPOWERMENT LLC (NPI# 1407333248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407333248 |
| Entity Type | Organization |
| Organization Name | SELF HEALING EMPOWERMENT LLC |
| Practice Address |
1110 E Brewington Rd Sumter SC 29153-8963 |
| Mailing Address |
4552 Renigar St Winston Salem NC 27105-2936 |
| Practice Telephone | 3368139325 |
| Mailing Telephone | 3368139325 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |
| Authorized Official Name | MR. SYNTHI'A F PENN (ADMINISTRATOR) |
| Authorized Official Telephone | 3367492101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1110 E BREWINGTON RD |
| City | SUMTER |
| State | SC |
| Zip Code | 29153-8963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730681461 | Ashleigh Lynn Gentele | Physical Therapy Assistant | 480 Mikom Road, Sumter, SC 29153 | 2018-03-08 |
| 1609187145 | Helping Hands Home Care Agency | In Home Supportive Care | 2625 Fossil Lane, Sumter, SC 29153 | 2010-06-30 |
| 1245279595 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 801 N Pike W, Sumter, SC 29153-1906 | 2006-06-05 |
| 1629698188 | Davenna Shannon | Social Worker | 801 N Pike W, Sumter, SC 29153-1906 | 2020-04-24 |
| 1023648789 | Raquel Hudgies | Case Manager/Care Coordinator | 801 N Pike W, Sumter, SC 29153-1906 | 2020-01-22 |
| 1508404104 | Lakisha D Mcleod | Counselor | 801 N Pike W, Sumter, SC 29153-1906 | 2019-12-13 |
| 1417500943 | Miosha Mcfadden | Counselor | 801 N Pike W, Sumter, SC 29153-1906 | 2019-07-23 |
| 1184282238 | Detrice Bethea | Counselor | 801 N Pike W, Sumter, SC 29153-1906 | 2019-06-04 |
| 1518523364 | Nathaniel Eugene Nash Jr. | Social Worker | 801 N Pike W, Sumter, SC 29153-1906 | 2019-05-17 |
| 1841856812 | Melissa Romona Burgess | Counselor | 801 N Pike W, Sumter, SC 29153-1906 | 2019-05-15 |
| Find all providers in zip 29153 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1093258444 | Carolina Behavioral Health Services | Community/Behavioral Health | 130 Broad St, Sumter, SC 29150-4237 | 2016-12-01 |
| 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.