WILDERNESS WAY CAMP SCHOOL INC


Address: 175 Camp School Ln, Fair Play, SC 29643
Phone: 8649720611

WILDERNESS WAY CAMP SCHOOL INC (NPI# 1245276906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245276906
Entity Type Organization
Organization Name WILDERNESS WAY CAMP SCHOOL INC
Other Organization Name WILDERNESS WAY GIRLS CAMP
Practice Address 175 Camp School Ln
Fair Play
SC 29643
Practice Telephone 8649720611
Practice Fax Number 8649722045
Mailing Telephone 8649720611
Mailing Fax Number 8649722045
Enumeration Date 2006-06-21
Last Update Date 2020-08-22
Authorized Official Name MR. KEN R EDGAR (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8649720611
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Wilderness Way Girls Camp Other Name - Individual/Organization

Office Location

Street Address 175 CAMP SCHOOL LN
City FAIR PLAY
State SC
Zip Code 29643

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891985982 Woodlandway Family Practice Family Medicine 111 West Pine Grove Rd, Fairplay, SC 29643 2007-07-26
1801919352 Mays Clinic Pharmacy Pharmacy 111 West Pine Grove Road, Fair Play, SC 29643 2007-04-09
1609991652 Country Christian Care Inc Assisted Living Facility 207 Farm House Lane, Fair Play, SC 29643 2007-03-20
1184805368 Mays Clinic General Practice 111 West Pine Grove Road, Fair Play, SC 29643 2007-11-16
1912216565 Ccc of Fair Play,llc Assisted Living Facility 207 Farm House Ln, Fair Play, SC 29643-2207 2010-09-30
1891976288 Carolina Speech Services, Inc. Clinic/Center 132 Lakehill Dr., Fair Play, SC 29643-2516 2007-11-14
1790978120 Greg Joseph Hawkesworth Family Medicine 111 W Pine Grove Rd, Fair Play, SC 29643-2623 2007-08-20
1316263007 Anmed Health Family Medicine 111 W Pine Grove Rd, Fair Play, SC 29643-2623 2010-04-20

Providers in the same city

NPI Name Taxonomy Address Enumeration
1558729509 Cayman's House of Hope, Inc. Residential Treatment Facility, Emotionally Disturbed Children 311 N Poplar St, Fair Play, MO 65649-9299 2016-02-05
1679980304 Michelle Parsons Speech-Language Pathologist 4424 South 50th Road, Fair Play, MO 65649 2014-07-15
1558539023 Barbara Ann Streid Speech-Language Pathologist 21020 E Highway H, Fair Play, MO 65649-8252 2008-02-18
1932143781 Cristie Sealey Erven Psychologist 204 N Poplar St, Fair Play, MO 65649-9298 2006-06-15
1215363940 Fair Play R-ii School District Local Education Agency (LEA) 301 N Walnut St, Fair Play, MO 65649-5102 2013-09-26
1083877500 Hope House Psychological Services, LLC Psychologist 204 N Poplar St, Fair Play, MO 65649-9298 2008-07-03

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1568060291 Serenity Therapy Services Counselor 4607 Charlotte Hwy Ste 18, Lake Wylie, SC 29710-8149 2020-10-14
1679171391 Jeanne Harrell Counselor 860 Lowcountry Blvd Ste B, Mt Pleasant, SC 29464-3091 2020-10-14
1700484714 Shira Simmons Culbreath Counselor 5124 Norway Ln, Rock Hill, SC 29732-8399 2020-10-12
1659978047 Allyssa Resech Counselor 2075 Calloway Pines Dr, Tega Cay, SC 29708-7206 2020-10-08
1912514555 Melissa-miles Dunn Counselor 451 Folly Rd Ste 107, Charleston, SC 29412-2640 2020-09-28
1396351953 Dennis Austin Everson Counselor 102 Commons Blvd # C, Piedmont, SC 29673-7766 2020-09-18
1346855228 Christopher B. Briggman Counselor 4501 Mixson Ave Apt 322, North Charleston, SC 29405-3227 2020-09-09
1508470840 Christine Schaub Counselor 214 Autumn Run Cir, Columbia, SC 29229-7622 2020-09-03
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Competitor

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City FAIR PLAY
Zip Code 29643

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Dataset Information

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.

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