SC DEPARTMENT OF JUVENILE JUSTICE (NPI# 1285988048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285988048 |
| Entity Type | Organization |
| Organization Name | SC DEPARTMENT OF JUVENILE JUSTICE |
| Other Organization Name | WILLIAMSBURG COUNTY DJJ |
| Practice Address |
209 Short St Kingstree SC 29556-3926 |
| Mailing Address |
Po Box 21069 Columbia SC 29221-1069 |
| Practice Telephone | 8433552772 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |
| Authorized Official Name | MARGARET BARBER (AGENCY DIRECTOR) |
| Authorized Official Telephone | 8038965940 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DJJ045 | 05 |
| Other Name | Type Code |
|---|---|
| Williamsburg County DJJ | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538413380 | Sc Department of Juvenile Justice | Community/Behavioral Health | 203 Booker Dr, Suite B, Walhalla, SC 29691-2279 | 2012-11-01 |
| 1124372982 | Sc Department of Juvenile Justice | Community/Behavioral Health | 180 Magnolia St, Spartanburg, SC 29306-2359 | 2012-11-01 |
| 1740534502 | Sc Department of Juvenile Justice | Community/Behavioral Health | 200 S Mountain St, Suite 3, Union, SC 29379-2389 | 2012-11-01 |
| 1811241672 | Sc Department of Juvenile Justice | Community/Behavioral Health | 230 1st Street East, Suite 7, Hampton, SC 29924 | 2012-11-01 |
| 1922352988 | Sc Department of Juvenile Justice | Community/Behavioral Health | 40 Klein St, Walterboro, SC 29488-3973 | 2012-10-30 |
| 1487908455 | Sc Department of Juvenile Justice | Community/Behavioral Health | 180 N Irby St, Room 702, Florence, SC 29501-3456 | 2012-10-30 |
| 1275887234 | Sc Department of Juvenile Justice | Community/Behavioral Health | 200 S 5th Ave, Dillon, SC 29536-3332 | 2012-10-30 |
| 1386998359 | Sc Department of Juvenile Justice | Community/Behavioral Health | 120 Screven St, Georgetown, SC 29440-3642 | 2012-10-30 |
| 1083968903 | Sc Department of Juvenile Justice | Community/Behavioral Health | 1504 Grays Hwy, Ridgeland, SC 29936-5440 | 2012-10-30 |
| 1912251976 | Sc Department of Juvenile Justice | Community/Behavioral Health | 302 Russell St, Darlington, SC 29532-3307 | 2012-10-30 |
| Street Address |
209 SHORT ST |
| City | KINGSTREE |
| State | SC |
| Zip Code | 29556-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184969347 | Obatala Ombu | Psychologist | 209 Short St, Kingstree, SC 29556-3926 | 2012-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689198996 | April Wilson | Home Health Aide | 706 Sandy Bay Rd, Kingstree, SC 29556 | 2017-07-28 |
| 1588000657 | Jennifer Moore Lamb | Registered Nurse | 500 North Academy St, Building K, Kingstree, SC 29556 | 2013-05-16 |
| 1619227014 | Hallie Mcnair Dubose | Pharmacist | 120 North Longstreet St, Kingstree, SC 29556 | 2012-09-12 |
| 1699969733 | Black River Healthcare, Inc. | Obstetrics & Gynecology | 500 Thurgood Marshall Boulevard, Suite A, Kingstree, SC 29556 | 2007-08-31 |
| 1457578486 | Dawkins Medical Transport | Ambulance | 89 Drylog Avenue, Kingstree, SC 29556 | 2007-04-19 |
| 1306971502 | Vital Aging of Williamsburg County, Inc. | Home Delivered Meals | 501 North Longstreet Street, Kingstree, SC 29556 | 2007-02-21 |
| 1356489579 | Harry Wells Floyd | General Practice | 500 Thurgood Marshall Blvd, Suite F, Kingstree, SC 29556 | 2007-02-01 |
| 1306995782 | Joann Conyers Lockhart | Health Educator | 500 Academy Street, Kingstree, SC 29556 | 2007-01-09 |
| 1497825723 | The Youth Academy Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 237 Lela Harrison Road, Kingstree, SC 29556 | 2006-11-08 |
| 1427151109 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 120 N Longst St, Kingstree, SC 29556 | 2006-09-07 |
| Find all providers in zip 29556 | ||||
| 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 |
|---|---|---|---|---|
| 1497392419 | Gtog Services | Community/Behavioral Health | 218 Martin Luther King Ave, Kingstree, SC 29556-4072 | 2019-12-09 |
| 1093126500 | Positive Influences, Inc | Community/Behavioral Health | 200 N Brooks St, Kingstree, SC 29556-3544 | 2014-05-19 |
| 1285901660 | Next Generation Family and Youth Services LLC | Community/Behavioral Health | 1956 Thurgood Marshall Hwy, Ste. 2, Kingstree, SC 29556-5583 | 2011-11-29 |
| 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.