MIDLAND VALLEY BEHAVIORAL HEALTH & CONSULTING, LLC (NPI# 1770146540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770146540 |
| Entity Type | Organization |
| Organization Name | MIDLAND VALLEY BEHAVIORAL HEALTH & CONSULTING, LLC |
| Practice Address |
3524 Jefferson Davis Hwy Graniteville SC 29829 |
| Mailing Address |
388 Bridle Path Rd North Augusta SC 29860-9085 |
| Practice Telephone | 8033809004 |
| Practice Fax Number | 8033693240 |
| Mailing Telephone | 8036405101 |
| Mailing Fax Number | 8033693240 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Authorized Official Name | JAY EARLES (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 8033809004 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
3524 JEFFERSON DAVIS HWY |
| City | GRANITEVILLE |
| State | SC |
| Zip Code | 29829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578126181 | Season 4 Change, LLC | Community/Behavioral Health | 3524 Jefferson Davis Hwy, Graniteville, SC 29829-9998 | 2019-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386255214 | Bettis Academy Dentistry, LLC | Dentist | 120b Bettis Academy Road, Graniteville, SC 29829 | 2020-08-13 |
| 1710224001 | Carly Schneider | Physician Assistant | 110 Sasanqua Dr, Graniteville, SC 29829 | 2013-01-07 |
| 1508034273 | Roseanne Conti Rodgers | Dentist | 120-b Bettis Academy Rd, Granitevelle, SC 29829 | 2008-02-15 |
| 1205994886 | Darrell William Jones | Social Worker | 3524 Jefferson Davis Highway, Graniteville, SC 29829 | 2006-12-05 |
| 1144310905 | Ilse Kiddy Alumbaugh | Nurse Practitioner | 1 Bridgestone Pkwy, Graniteville, SC 29829 | 2006-10-13 |
| 1659785582 | Robin Theo Mitchell | Nurse Practitioner | 110 Sasanqua Dr, Graniteville, SC 29829 | 2014-06-18 |
| 1043591183 | Brian Adams | Social Worker | 100 Dogwood Ave, Graniteville, SC 29829-2836 | 2011-09-02 |
| 1215156112 | Graniteville Family Medical Center LLC | Family Medicine | 1 Hickman St, Graniteville, SC 29829-2955 | 2007-04-25 |
| 1629022785 | Mae Jean Englee | Family Medicine | 1 Hickman Street, Agape Physicians Care, Graniteville, SC 29829-2955 | 2006-05-20 |
| 1144738154 | Christy Sikes, LLC. | Dentist | 1 Hickman St, Graniteville, SC 29829-2955 | 2018-01-12 |
| Find all providers in zip 29829 | ||||
| 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 |
|---|---|---|---|---|
| 1578126181 | Season 4 Change, LLC | Community/Behavioral Health | 3524 Jefferson Davis Hwy, Graniteville, SC 29829-9998 | 2019-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403116 | Pieces 2 Peace Wellness Center, LLC | Community/Behavioral Health | 1105 Belleview St Ste 103, Columbia, SC 29201-1839 | 2020-10-01 |
| 1215541669 | Myndspace Mental Health Education & Consulting, LLC | Community/Behavioral Health | 111 Bantry Cir, Charleston, SC 29414-8089 | 2020-09-03 |
| 1861005431 | Legacy Counseling and Consulting of South Carolina | Community/Behavioral Health | 62 Bridgeway Dr, Laurens, SC 29360-7452 | 2020-08-24 |
| 1093325953 | B & H Consultants LLC | Community/Behavioral Health | 1965 Baggette Rd, Manning, SC 29102-7643 | 2020-08-05 |
| 1649896770 | New Wave Counseling Services, LLC | Community/Behavioral Health | 175 Guiomar Rd, Cordova, SC 29039-9344 | 2020-06-24 |
| 1871116517 | Transcendence Treatment Center, LLC | Community/Behavioral Health | 3900 Leeds Ave Ste 101, North Charleston, SC 29405-7461 | 2020-05-28 |
| 1710507090 | Adahsa Counseling LLC | Community/Behavioral Health | 200 Eascott Pl, Columbia, SC 29229-5502 | 2020-04-16 |
| 1740809862 | Brsi Lp | Community/Behavioral Health | 8901 Farrow Rd, Columbia, SC 29203-8930 | 2020-04-09 |
| 1881224954 | Kimberly Lynette Merritts | Community/Behavioral Health | 1550 N Williston Rd, Florence, SC 29506-8744 | 2020-01-17 |
| 1790324986 | Bransand | Community/Behavioral Health | 402 Nautique Cir, Columbia, SC 29229-7334 | 2020-01-05 |
| Find all providers with the same taxonomy | ||||
| City | GRANITEVILLE |
| Zip Code | 29829 |
Please comment or provide details below to improve the information on MIDLAND VALLEY BEHAVIORAL HEALTH & CONSULTING, LLC.
| 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.