VIRGINIA BRIDGES GAULIN (NPI# 1558769141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558769141 |
| Entity Type | Individual |
| Full Name | VIRGINIA BRIDGES GAULIN |
| Credential | LPC, ATR |
| Practice Address |
209 Pendleton Rd Ste C Clemson SC 29631 |
| Mailing Address |
211 Keese St Pendleton SC 29670-1255 |
| Practice Telephone | 8649820694 |
| Mailing Telephone | 8649820694 |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2018-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6744 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | LICENSE | A11218 | 01 |
| Street Address |
209 PENDLETON RD STE C |
| City | CLEMSON |
| State | SC |
| Zip Code | 29631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214555 | Carla D Mosby | Counselor | 209 Pendleton Rd Ste C, Clemson, SC 29631-2244 | 2020-10-26 |
| 1013474253 | Alyssa Mckeeman | Counselor | 209 Pendleton Rd Ste C, Clemson, SC 29631-2244 | 2019-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059038 | James Ryan Small | Specialist/Technologist | 212 Vista Cir, Clemson, SC 29631 | 2019-12-09 |
| 1811559883 | Cheyenne Leigh Reynolds | Specialist/Technologist | 100 Reeves Way, Clemson, SC 29631 | 2019-07-01 |
| 1912474792 | Andrea Bagley Stokes | Physical Therapist | 500-1 Old Greenville Hwy # 1, Clemson, SC 29631 | 2018-10-30 |
| 1114426178 | Intouch Pharmacy LLC | Pharmacy | 105 Wall Street, Suite 10b, Clemson, SC 29631 | 2018-02-06 |
| 1881117695 | Community Pharmacy Group, Inc. | Pharmacy | 143 Thomas Green Blvd, Clemson, SC 29631 | 2017-07-24 |
| 1295286276 | James Matthew Mills | Occupational Therapist | 101 Chapman Rd, Clemson, SC 29631 | 2016-10-14 |
| 1437580628 | Amanda Martin Eubanks | Speech-Language Pathologist | 101 Chapman Road Suite 202, Clemson, SC 29631 | 2013-12-12 |
| 1437408499 | Fort Hill Family Dentistry, Pa | Clinic/Center | 124 Strode Circle, Clemson, SC 29631 | 2012-09-06 |
| 1942511738 | Theresa S Ritter | Counselor | 386 College Avenue, Suite A, Clemson, SC 29631 | 2010-06-25 |
| 1750604245 | Sherri Diane Fowler | Mechanotherapist | 402 Pendleton Rd., Suite 4, Clemson, SC 29631 | 2010-03-11 |
| Find all providers in zip 29631 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639684582 | Margaret Grisham | Counselor | 110 Liberty Dr Ste 206, Clemson, SC 29631-3159 | 2017-12-13 |
| 1942511738 | Theresa S Ritter | Counselor | 386 College Avenue, Suite A, Clemson, SC 29631 | 2010-06-25 |
| 1982829891 | Cynthia Gansser | Counselor | 208 Frontage Road, Suite 3, Clemson, SC 29631 | 2007-04-16 |
| 1427108505 | Deborah Peterson | Counselor | 1002 College Ave, Clemson, SC 29631-2804 | 2007-01-11 |
| 1467510156 | Clemson Counseling Center Inc | Counselor | 105 8 Wall St, Clemson, SC 29631 | 2006-12-05 |
| 1023122082 | Holly Lee Partin | Counselor | 1376 Tiger Blvd, Suite 210, Clemson, SC 29631-2652 | 2006-08-18 |
| 1083214555 | Carla D Mosby | Counselor | 209 Pendleton Rd Ste C, Clemson, SC 29631-2244 | 2020-10-26 |
| 1306459235 | Savannah Eliza Calvert | Counselor | 1011 Tiger Blvd Ste 610, Clemson, SC 29631-1401 | 2020-08-29 |
| 1346864683 | Elizabeth A Venable | Counselor | 100 Mccollum St Ste 2, Clemson, SC 29631-1532 | 2020-06-02 |
| 1013474253 | Alyssa Mckeeman | Counselor | 209 Pendleton Rd Ste C, Clemson, SC 29631-2244 | 2019-02-25 |
| Find all providers in CLEMSON | ||||
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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.