SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE (NPI# 1356397228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356397228 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE |
| Other Organization Name | WACCAMAW CENTER FOR MENTAL HEALTH |
| Practice Address |
164 Waccamaw Medical Park Dr Conway SC 29526-8903 |
| Practice Telephone | 8433475060 |
| Practice Fax Number | 8433473959 |
| Mailing Telephone | 8433475060 |
| Mailing Fax Number | 8433473959 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | TRACY L TURNER (CONTROLLER) |
| Authorized Official Telephone | 8038988503 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 327877 | 05 |
| Other Name | Type Code |
|---|---|
| Waccamaw Center for Mental Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205925567 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 125 E Cheves St, Florence, SC 29506-2526 | 2006-10-12 |
| 1104838192 | South Carolina Dept of Mental Health Accounting Office | Skilled Nursing Facility | 2461 Sidneys Rd, Walterboro, SC 29488-6783 | 2006-08-12 |
| 1568476885 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 448 Lakeshore Pkwy, Suite 205, Rock Hill, SC 29730-4264 | 2006-07-29 |
| 1245279595 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 801 N Pike W, Sumter, SC 29153-1906 | 2006-06-05 |
| 1376595041 | South Carolina Dept of Mental Health Accounting Office | Psychiatric Hospital | 130 Highway 252, Anderson, SC 29621-5054 | 2006-05-17 |
| 1184675316 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2006-05-12 |
| 1609825264 | South Carolina Dept of Mental Health Accounting Office | Psychiatric Hospital | 220 Faison Dr, Columbia, SC 29203-3210 | 2006-05-09 |
| 1508814625 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 200 Mcgee Rd, Anderson, SC 29625-2142 | 2006-05-04 |
| 1316904857 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 1135 Gregg Hwy, Aiken, SC 29801-6341 | 2006-04-27 |
| 1417557471 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-10-29 |
| Street Address |
164 WACCAMAW MEDICAL PARK DR |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-8903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370021 | Kurt Klauburg | Psychiatry & Neurology | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2005-07-19 |
| 1740881242 | Tracey Buster | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-11-03 |
| 1417557471 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-10-29 |
| 1427676907 | Leslie Ethridge Barnes | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-07-10 |
| 1043849151 | Juleian Edwards | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-04-02 |
| 1942835202 | Rachel Anne Hemingway | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-03-06 |
| 1912530221 | Matthew John Beauchemin | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-14 |
| 1114559085 | Jeffrey N. Osborne | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-10 |
| 1790317006 | Joshawna April Mcabee | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-05 |
| 1922639343 | Lorie A Matthews | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427679919 | All Are Welcome Counseling | Clinic/Center | 2669 Pecan Ln, Conway, SC 29526-6610 | 2020-05-06 |
| 1619501657 | Bhg L, LLC | Clinic/Center | 1058 Front St Ste 104, Conway, AR 72032-4337 | 2020-02-28 |
| 1447884705 | Jennie Cassidy Psychologist LLC | Clinic/Center | 1511 9th Ave Ste C, Conway, SC 29526-4126 | 2020-02-26 |
| 1528508108 | Conway Behavioral Health, LLC | Clinic/Center | 2255 Sturgis Road, Conway, AR 72034-8334 | 2017-03-02 |
| 1669887808 | Counseling and Assessment Clinic Pllc | Clinic/Center | 306 Salem Rd Ste 109, Conway, AR 72034-6376 | 2014-06-26 |
| 1417109703 | Counseling Associates, Inc | Clinic/Center | 855 S Salem Rd, Conway, AR 72034-8365 | 2008-10-17 |
| 1326290610 | Counseling Associates, Inc | Clinic/Center | 1701 Donaghey Ave, Conway, AR 72032-2511 | 2008-10-17 |
| 1811502271 | Aich Counseling, LLC | Clinic/Center | 915 Oak St Ste 103, Conway, AR 72032-4389 | 2020-09-12 |
| 1093362881 | Waccamaw Center for Mental Health | Clinic/Center | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2019-08-26 |
| 1548704521 | Because You Matter Counseling Pllc | Clinic/Center | 21 Macarthur Dr, Conway, AR 72032-4510 | 2016-12-11 |
| Find all providers in CONWAY | ||||
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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.