EQUILIBRIUM LLC (NPI# 1013135433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013135433 |
| Entity Type | Organization |
| Organization Name | EQUILIBRIUM LLC |
| Practice Address |
701 Gervais St Ste 150-258 Columbia SC 29201-3066 |
| Mailing Address |
1821 Pickens St Columbia SC 29201-2630 |
| Practice Telephone | 8033613066 |
| Practice Fax Number | 8668344286 |
| Mailing Telephone | 8033613066 |
| Mailing Fax Number | 8668344286 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WENDY K GRAHAM (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 18033613066 |
| Authorized Official Credential | EDS LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4644 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NPI LPC | 1730137456 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465889 | Equilibrium LLC | Social Worker | 223 Windsor Dr Ste 3, Mt Sterling, KY 40353-1626 | 2019-12-30 |
| 1205375433 | Equilibrium LLC | Massage Therapist | 4570 W 77th St, Suite 140, Edina, MN 55435-5008 | 2017-02-21 |
| 1629137070 | Equilibrium LLC | Chiropractor | 1706 Nw Glisan St, Suite 5, Portland, OR 97209-2225 | 2006-12-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EQUILIBRIUM LLC | 151 Calle Cesar Gonzalez Apt 2302, San Juan, PR 00918-1482 |
| Indiana Business Entities | EQUILIBRIUM LLC | 5203 Woodside Dr, Indianapolis, IN 46228 |
| Street Address |
701 GERVAIS ST STE 150-258 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-3066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891826327 | South Carolina Community Dentistry Service | Dentist | 701 Gervais St, #150-128, Columbia, SC 29201-3066 | 2007-03-08 |
| 1720250442 | Chrislyn Earline Lawhon | Dentist | 701 Gervais St, #150-128, Columbia, SC 29201-3066 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305205 | Jacqueline Justiniano Myers | Counselor | 7161 Columbia Gateway Dr Ste D, Columbia, MD 21046-2617 | 2020-10-27 |
| 1518565928 | Family and Individual Therapeutic Healing LLC | Counselor | 300 Long Pointe Ln Ste 220-b, Columbia, SC 29229-7543 | 2020-10-16 |
| 1093321150 | Cynthia Roark | Counselor | 1021 Pinnacle Point Dr Ste 120, Columbia, SC 29223-5740 | 2020-09-23 |
| 1033722871 | Laine Jones | Counselor | 455 Saint Andrews Rd # Suittec1, Columbia, SC 29210-4486 | 2020-08-30 |
| 1952914988 | Oprah Ingram | Counselor | 9570 Two Notch Rd Ste 8, Columbia, SC 29223-4309 | 2020-08-28 |
| 1093339897 | Bryant Rogers | Counselor | 2 Hempstead Pl, Columbia, SC 29229-7762 | 2020-06-08 |
| 1821627498 | Christi Stewart | Counselor | 1809 Atascadero Dr, Columbia, SC 29206-1413 | 2020-04-06 |
| 1316577299 | Chandra Hope Mossine | Counselor | 2012 Cherry Hill Dr Ste 102b, Columbia, MO 65203-5882 | 2020-01-20 |
| 1871132233 | Patricia Dudley | Counselor | 6659 Buckstone Ct, Columbia, MD 21044-4103 | 2020-01-03 |
| 1871139790 | James Roland Blucher | Counselor | 10545 Jason Ln, Columbia, MD 21044-2212 | 2019-11-26 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on EQUILIBRIUM 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.