CROSSROADS YOUTH RANCH (NPI# 1033585526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033585526 |
| Entity Type | Organization |
| Organization Name | CROSSROADS YOUTH RANCH |
| Practice Address |
344 Flemming Road Pacolet SC 29372-0000 |
| Mailing Address |
Po Box 309 Pacolet SC 29372-0309 |
| Practice Telephone | 3609201084 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |
| Authorized Official Name | BETH BAILY (DIRECTOR) |
| Authorized Official Telephone | 3609201084 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
344 FLEMMING ROAD |
| City | PACOLET |
| State | SC |
| Zip Code | 29372-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619385796 | Amanda Rae Johnson | Pharmacist | 6950 South Pine St, Pacolet, SC 29372 | 2014-08-01 |
| 1619300316 | Healthstat On-site Clinic/milliken Whitestone | Preventive Medicine | 190 Pine Oak Ln, Hwy 295, Spartanburg, SC 29372 | 2013-08-16 |
| 1922443399 | Sharon Huffman Brown | Registered Nurse | 850 Sunny Acres Road, Pacolet, SC 29372 | 2013-04-30 |
| 1205155355 | Jeffrey Stephen | Pharmacist | 6950 S. Pine Street, Pacolet, SC 29372 | 2010-05-27 |
| 1124343603 | Sharon Lynn Glass | Pharmacist | 6950 South Pine Street, Pacolet, SC 29372 | 2010-03-29 |
| 1538260377 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 6950 South Pine Street, Pacolet, SC 29372 | 2006-09-26 |
| 1710991054 | Pacolet Mills Rescue Squad, Inc | Ambulance | 980 Sunny Acres Road, Pacolet, SC 29372-0980 | 2006-07-29 |
| 1689018095 | Dianne D Arthur | Registered Nurse | 150 Mcdowell St, Pacolet, SC 29372-2022 | 2013-04-29 |
| 1720425689 | Karra Smith Williams | Speech-Language Pathologist | 150 Mcdowell St, Pacolet, SC 29372-2022 | 2013-05-31 |
| 1033633730 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6950 S Pine St, Pacolet, SC 29372-2243 | 2017-08-03 |
| Find all providers in zip 29372 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.