MRS. MILLICENT CLEMONS JORDAN (NPI# 1235194218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235194218 |
| Entity Type | Individual |
| Full Name | MRS. MILLICENT CLEMONS JORDAN |
| Credential | LPC |
| Practice Address |
1 Carriage Ln Bldg J Charleston SC 29407-6060 |
| Mailing Address |
1 Carriage Ln Bldg. J Charleston SC 29407-6060 |
| Practice Telephone | 8435735050 |
| Practice Fax Number | 8435735030 |
| Mailing Telephone | 8435735050 |
| Mailing Fax Number | 8435735030 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2008-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2623 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICAID HO | 202569 | 01 |
| Street Address |
1 CARRIAGE LN BLDG J |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407-6060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932758562 | Samantha Ann Diamond | Counselor | 1 Carriage Ln, Suite 102, Building B, Charleston, SC 29407 | 2019-09-06 |
| 1083150494 | A Place 2 Smile LLC | Case Management | 1 Carriage Ln, Building E Suite 107, Charleston, SC 29407-6060 | 2017-01-09 |
| 1982915849 | Donna Maria Salerno | Counselor | 1 Carriage Ln, Building J, Charleston, SC 29407-6060 | 2010-06-25 |
| 1831415900 | Elise Richard | Counselor | 1 Carriage Ln, Charleston, SC 29407-6060 | 2010-04-14 |
| 1588844500 | George F Webb | Social Worker | 1 Carriage Ln, Bld J, Charleston, SC 29407-6060 | 2007-11-07 |
| 1104953835 | Millicent C. Jordan, LLC | Counselor | 1 Carriage Ln, Bldg. J, Charleston, SC 29407-6060 | 2007-02-28 |
| 1609829886 | Sara Marcino | Psychiatry & Neurology | 1 Carriage Ln, Suite J, Charleston, SC 29407-6060 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514555 | Melissa-miles Dunn | Counselor | 451 Folly Rd Ste 107, Charleston, SC 29412-2640 | 2020-09-28 |
| 1497379150 | Catherine Fliszar | Counselor | 3245 Glenn Mcconnell Pkwy Unit 801, Charleston, SC 29414-8161 | 2020-05-28 |
| 1003439225 | Lauren Whatley | Counselor | 652 Rutledge Ave Unit A, Charleston, SC 29403-4297 | 2020-05-21 |
| 1891322483 | Katherine Jane Eldean | Counselor | 751 Lake Frances Dr, Charleston, SC 29412-4342 | 2020-03-24 |
| 1114567864 | Amber Mariah Clark | Counselor | 4 Carriage Ln Ste 405, Charleston, SC 29407-6024 | 2020-01-10 |
| 1891291290 | Damon Mark Mckenzie | Counselor | 107 S. Hancock, Charleston, AR 72933 | 2018-04-04 |
| 1770090011 | Mary Jo Selbe | Counselor | 305 20th St Se, Charleston, WV 25304-1003 | 2018-01-09 |
| 1780197665 | Courtney Klacza | Counselor | 2122 Egret Crest Ln, Charleston, SC 29414-6073 | 2017-11-14 |
| 1780136556 | Jennifer L Gregan | Counselor | 718 Bigley Avenue, Charleston, WV 25302 | 2016-10-27 |
| 1588111603 | Amber Alena Gunno | Counselor | 713 Bigley Avenue, Charleston, WV 25362 | 2016-09-07 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
Please comment or provide details below to improve the information on MRS. MILLICENT CLEMONS JORDAN.
| 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.