MARY L. SHULTS (NPI# 1306884630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306884630 |
| Entity Type | Individual |
| Full Name | MARY L. SHULTS |
| Credential | LISW |
| Practice Address |
2094 Woodruff Rd Greenville SC 29607-5939 |
| Practice Telephone | 8646769211 |
| Practice Fax Number | 8646769432 |
| Mailing Telephone | 8646769211 |
| Mailing Fax Number | 8646769432 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 1451 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SC LIC # | 1451 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730687450 | Mary Lynne Shults | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2018-01-28 |
| 1083747331 | Mary C Shults | Pharmacist | 1900 Se Sedgwick Rd, Port Orchard, WA 98366-9500 | 2007-03-14 |
| Street Address |
2094 WOODRUFF RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29607-5939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164481867 | Piedmont Psychiatric Service Pa | Clinic/Center | 2094 Woodruff Rd, Greenville, SC 29607-5939 | 2006-03-21 |
| 1487988838 | Joseph A Friddle | Physician Assistant | 2094 Woodruff Rd, Greenville, SC 29607-5939 | 2009-10-01 |
| 1982645016 | Lisa L Wischhusen | Specialist | 2094 Woodruff Rd, Greenville, SC 29607-5939 | 2006-06-09 |
| 1588602734 | Tony R Goodbar | Specialist | 2094 Woodruff Rd, Greenville, SC 29607-5939 | 2006-06-02 |
| 1932147188 | Jeffrey K Smith | Specialist | 2094 Woodruff Rd, Greenville, SC 29607-5939 | 2006-06-02 |
| 1801834072 | Carol Rentz Mitchell | Counselor | 2094 Woodruff Rd, Greenville, SC 29607-5939 | 2006-06-02 |
| 1669410841 | Michael D Smith | Counselor | 2094 Woodruff Rd, Greenville, SC 29607-5939 | 2006-06-02 |
| 1720026057 | John P Taylor | Specialist | 2094 Woodruff Rd, Greenville, SC 29607-5939 | 2006-06-02 |
| 1477500882 | James M Harbin | Counselor | 2094 Woodruff Rd, Greenville, SC 29607 | 2006-05-30 |
| 1205883618 | Albert C Bennett | Counselor | 2094 Woodruff Rd, Greenville, SC 29607-5939 | 2006-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846138 | Personalized Home Care Services | Technician | 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 | 2020-09-16 |
| 1396361960 | Complete Homecare of America, Inc. | In Home Supportive Care | 128 Millport Circle, Suite 200, Greenville, SC 29607 | 2020-06-19 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| 1861047037 | Susannah Long | Marriage & Family Therapist | 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 | 2019-08-05 |
| 1043872369 | Cheryl Craig Rosemond | Case Manager/Care Coordinator | 5 Century Drive, Suite 130, Greenville, SC 29607 | 2019-07-08 |
| 1457916561 | After Hours Chiropractic LLC | Chiropractor | 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 | 2019-05-03 |
| 1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
| 1124502307 | Martha Irby | Home Health Aide | 2320 E North St Rr 107, Greenville, SC 29607 | 2018-09-24 |
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1083113963 | Caroline Graham | Nurse Practitioner | 850 S Pleasantburg Dr, Greenville, SC 29607 | 2018-02-06 |
| Find all providers in zip 29607 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710522586 | Samuel Bethea Cann V | Counselor | 212 Whitsett St, Greenville, SC 29601-3141 | 2019-11-15 |
| 1417591827 | Michael Nicholson | Counselor | 1990 Augusta St Ste 204, Greenville, SC 29605-6505 | 2019-10-30 |
| 1457993123 | Innovation Counseling Services | Counselor | 8 Sycamore Dr Ste B9, Greenville, SC 29607-2965 | 2019-10-14 |
| 1316591498 | Nelzarie I Wynn | Counselor | 151 Commons Way, Greenville, SC 29611-3850 | 2019-07-28 |
| 1356809990 | Atlantic Consulting and Therapy Specialists, Pa | Counselor | 3493-e Evans Street, Greenville, NC 27834-4535 | 2019-03-02 |
| 1710462916 | Bennett's Counseling Services | Counselor | 1478 Old Central Rd, Greenville, AL 36037-6159 | 2018-10-03 |
| 1154839694 | Tiffany Nicole Ceasar | Counselor | 365 W Reed Rd Ste 1a, Greenville, MS 38701-6967 | 2018-01-18 |
| 1225552557 | Stephanie Epley | Counselor | 365 West Reed Rd Ste A-1, Greenville, MS 38701 | 2017-07-28 |
| 1629591391 | Tenesha Marshall | Counselor | 365 W Reed Rd # A-1, Greenville, MS 38701-6967 | 2017-07-25 |
| 1871016428 | Damon Loren Rappleyea | Counselor | 300 E Arlington Blvd Ste 9a, Greenville, NC 27858-5050 | 2017-07-25 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29607 |
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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.