GRACEFUL LIVING BEHAVIORAL SUPPORT (NPI# 1245779164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245779164 |
Entity Type | Organization |
Organization Name | GRACEFUL LIVING BEHAVIORAL SUPPORT |
Practice Address |
3236 Landmark Dr North Charleston SC 29418-8488 |
Practice Telephone | 8435765392 |
Enumeration Date | 2017-02-13 |
Last Update Date | 2017-02-13 |
Authorized Official Name | DR. MODUPE SARUMI (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8435765392 |
Authorized Official Credential | PHARMD, MPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
3236 LANDMARK DR |
City | NORTH CHARLESTON |
State | SC |
Zip Code | 29418-8488 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952430514 | Raphael Patrick Ekong | Counselor | 3236 Landmark Dr, North Charleston, SC 29418-8488 | 2007-03-02 |
1922533603 | Autism and Beyond, LLC | Assistant Behavior Analyst | 3236 Landmark Dr, Suite 103, North Charleston, SC 29418-8488 | 2017-05-01 |
1396137584 | Autism and Beyond | Assistant Behavior Analyst | 3236 Landmark Dr, Suite 103, North Charleston, SC 29418-8488 | 2015-02-24 |
1568703510 | Kelly Holladay | Behavioral Analyst | 3236 Landmark Dr, Suite 103, North Charleston, SC 29418-8488 | 2013-03-14 |
1891078283 | Lisa Pace | Assistant Behavior Analyst | 3236 Landmark Dr, Suite 103, North Charleston, SC 29418-8488 | 2011-09-22 |
1730410879 | N & S Wellness Solution Center LLC | General Practice | 3236 Landmark Dr, Suite 110, North Charleston, SC 29418 | 2010-01-28 |
1871726802 | Crystal Olivia Brown-voeltz | Behavioral Analyst | 3236 Landmark Dr, 124, North Charleston, SC 29418-8488 | 2009-08-25 |
1043454796 | Living Waters Professional Counseling Services, Inc | Counselor | 3236 Landmark Dr, North Charleston, SC 29418-8488 | 2009-04-25 |
1134365836 | Community Choice Medical Services LLC | Nursing Care | 3236 Landmark Dr, 109, North Charleston, SC 29418-8488 | 2008-12-30 |
1245449388 | Stephanie Burgess | Behavioral Analyst | 3236 Landmark Dr, Suite 103, North Charleston, SC 29418-8488 | 2007-05-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710529235 | Safe Keeping Healthcare LLC | Home Health | 2850 Ashley Phoshate Rd Suite J, Charleston, SC 29418 | 2019-10-16 |
1487136180 | Aston J Rosenberg | Speech-Language Pathologist | 4362 Leslie St, North Charleston, SC 29418 | 2018-08-30 |
1285178996 | Aaron Brown | Counselor | 5060 Dorchester Road, Suite 200, North Charleston, SC 29418 | 2016-12-14 |
1003265828 | Health Edge Laser LLC | Chiropractor | 4965 Centre Pointe Dr. Suite 100, North Charleston, SC 29418 | 2016-06-13 |
1568866481 | Rickey Ciapha Dennis Sr. | Social Worker | 108 Knightsbridge Drive, North Charleston, SC 29418 | 2014-10-21 |
1780086330 | Stephanie Washington | Specialist | 5060 Drochester Rd, North Charleston, SC 29418 | 2014-09-25 |
1043631369 | Julian H. Campbell, Dmd PC | Dentist | 3188 W. Montague Ave, North Charleston, SC 29418 | 2014-01-05 |
1750660676 | Marie's Home Care | Home Health | 7610 Mcknight St., Apt.a, North Charleston, SC 29418 | 2011-08-09 |
1437437548 | Trident General Dentistry, Douglas S Rawls, Dm | Dentist | 6335 Dorchester Road, North Carleston, SC 29418 | 2011-07-25 |
1508165291 | Patrick Michael Looser | Internal Medicine | 4969 Centre Pointe Dr Ste 100, North Charleston, SC 29418 | 2011-03-21 |
Find all providers in zip 29418 |
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 |
---|---|---|---|---|
1871116517 | Transcendence Treatment Center, LLC | Community/Behavioral Health | 3900 Leeds Ave Ste 101, North Charleston, SC 29405-7461 | 2020-05-28 |
1114460375 | Crossroads Treatment Center of Charleston, PC | Community/Behavioral Health | 2470 Mall Dr, Unit C, North Charleston, SC 29406-6514 | 2016-11-21 |
1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
1437569662 | Communities In Schools of The Charleston Area, Inc. | Community/Behavioral Health | 1090 E Montague Ave, North Charleston, SC 29405-4837 | 2014-04-28 |
1295175735 | Step By Step, LLC | Community/Behavioral Health | 2426 Stadium Dr, North Charleston, SC 29406-6600 | 2013-06-28 |
1235431784 | Divine Intervention Counseling Services | Community/Behavioral Health | 3236 Landmark Drive, Suite 124, North Charleston, SC 29418 | 2010-12-03 |
1801449426 | Naomi Leedie, LLC | Community/Behavioral Health | 9263 Medical Plaza Dr Ste A, North Charleston, SC 29406-7112 | 2019-07-23 |
1841659885 | Hope Advancement, Inc | Community/Behavioral Health | 2810 Ashley Phosphate Rd, North Charleston, SC 29418-6405 | 2016-02-18 |
1083088967 | Taking A Positive Step Inc | Community/Behavioral Health | 6650 Rivers Ave, North Charleston, SC 29406-4809 | 2015-11-16 |
1033516067 | Mental Health America of Sc | Community/Behavioral Health | 5060 Dorchester Rd, Suite 200, North Charleston, SC 29418-5603 | 2014-11-19 |
Find all providers in NORTH CHARLESTON |
City | NORTH CHARLESTON |
Zip Code | 29418 |
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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.