FAMILY ENGAGEMENT & SUPPORT SERVICES (NPI# 1710405121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710405121 |
| Entity Type | Organization |
| Organization Name | FAMILY ENGAGEMENT & SUPPORT SERVICES |
| Practice Address |
1043 Cobblestone Blvd Summerville SC 29486-2083 |
| Mailing Address |
1317m N Main St Ste 318 Summerville SC 29483-7307 |
| Practice Telephone | 8437813468 |
| Practice Fax Number | 8437813468 |
| Mailing Telephone | 8436201570 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |
| Authorized Official Name | MS. ALISHA SIMMONS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8437813468 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1043 COBBLESTONE BLVD |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29486-2083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598275000 | Alisha Simmons | Counselor | 1043 Cobblestone Blvd, Summerville, SC 29486-2083 | 2017-10-10 |
| 1922518430 | James Hobson | Counselor | 1043 Cobblestone Blvd, Summerville, SC 29486-2083 | 2017-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921454 | Cooper River Pediatric Therapy LLC | Speech-Language Pathologist | 119 Callibluff Dr, Summerville, SC 29486 | 2020-04-24 |
| 1750928164 | Tidewater Eyecare, LLC | Optometrist | 301 Front St., Summerville, SC 29486 | 2019-12-04 |
| 1366086621 | Tgd-summerville LLC | Dentist | 604-a Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1336783604 | Tdsp-summerville LLC | Dentist | 604-b Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1699256081 | Denise Michelle Richardson | Speech-Language Pathologist | 201 School House Ln, Summerville, SC 29486 | 2018-08-24 |
| 1497243588 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 2205 2nd Avenue, Summerville, SC 29486 | 2018-04-25 |
| 1043707557 | Seaside Family Medicine, LLC | Nurse Practitioner | 1341 College Park Rd # A, Summerville, SC 29486 | 2018-04-19 |
| 1023511144 | Grace Physical Therapy and Sports Rehab At Nexton | Clinic/Center | 5500 Front St, Suite 201, Summerville, SC 29486 | 2018-03-15 |
| 1295253086 | Dillon Robert Gregory | Specialist/Technologist | 313 Springdale Ct., Summerville, SC 29486 | 2017-09-01 |
| 1013456987 | Sfd Kids LLC | Dentist | 108 Parish Farms Drive, Summerville, SC 29486 | 2017-02-13 |
| Find all providers in zip 29486 | ||||
| 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 |
|---|---|---|---|---|
| 1952837387 | Anna Dotson | Community/Behavioral Health | 121 Savannah Ln, Summerville, GA 30747-7055 | 2017-05-04 |
| 1730615162 | Brandon Gurley | Community/Behavioral Health | 244 Briarwood Cir, Summerville, GA 30747-1700 | 2017-05-04 |
| 1487039624 | Solutions 4 Life | Community/Behavioral Health | 1404 Buckthorn Cir, Summerville, SC 29483-1683 | 2015-07-29 |
| 1912338294 | Stephen | Community/Behavioral Health | 9588 Markley Blvd, Summerville, SC 29485-8585 | 2013-12-11 |
| 1912250820 | Highland Rivers Community Service Board | Community/Behavioral Health | 123 Lewis St, Summerville, GA 30747-1260 | 2012-10-17 |
| 1568714871 | Highland Rivers Community Service Board | Community/Behavioral Health | 226 Smith St, Summerville, GA 30747-2152 | 2012-10-10 |
| 1184975211 | Highland Rivers Community Service Board | Community/Behavioral Health | 3563 Back Berryton Rd, Summerville, GA 30747-5620 | 2012-09-28 |
| 1336409655 | All Seasons Counseling Services, LLC | Community/Behavioral Health | 107a Roberta Dr, Summerville, SC 29485-5328 | 2012-05-21 |
| 1790075679 | Lookout Mountain Community Service | Community/Behavioral Health | 341 Ellen St, Summerville, GA 30747-2025 | 2011-04-13 |
| 1801194113 | Lookout Mountain Community Service | Community/Behavioral Health | 74 Maple Dr, Summerville, GA 30747-1744 | 2011-03-10 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29486 |
Please comment or provide details below to improve the information on FAMILY ENGAGEMENT & SUPPORT SERVICES.
| 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.