THE MEDIATION AND FAMILY SERVICES CENTER, INC. (NPI# 1376724070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376724070 |
| Entity Type | Organization |
| Organization Name | THE MEDIATION AND FAMILY SERVICES CENTER, INC. |
| Practice Address |
2025 Ebenezer Rd Suite J-2 Rock Hill SC 29732-1062 |
| Practice Telephone | 8033662525 |
| Practice Fax Number | 8033662527 |
| Mailing Telephone | 8033662525 |
| Mailing Fax Number | 8033662527 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-12-11 |
| Authorized Official Name | MRS. RENDA KAY FAULKENBERRY (PRESIDENT/THERAPIST) |
| Authorized Official Telephone | 8033662525 |
| Authorized Official Credential | LISW-CP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 6922 | SC | Agencies |
| Street Address |
2025 EBENEZER RD SUITE J-2 |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-1062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750346532 | Eagle's Nest Counseling, LLC | Counselor | 2025 Ebenezer Rd, K-5, Rock Hill, SC 29732-1062 | 2006-04-17 |
| 1346698180 | Carolina Solution Inc. | Counselor | 2025 Ebenezer Rd, Suite I, Rock Hill, SC 29732-1062 | 2016-06-02 |
| 1184013526 | Results Resource | Specialist/Technologist | 2025 Ebenezer Rd, Suite E, Rock Hill, SC 29732-1062 | 2015-01-22 |
| 1306180575 | Kirsten Davis | Counselor | 2025 Ebenezer Rd, Rock Hill, SC 29732-1062 | 2012-11-12 |
| 1750653861 | Luke T Morrissey | Counselor | 2025 Ebenezer Rd, Suite M1, Rock Hill, SC 29732-1062 | 2012-02-04 |
| 1073744603 | Enia Staffing Agency | Early Intervention Provider Agency | 2025 Ebenezer Rd, L, Rock Hill, SC 29732-1062 | 2009-07-30 |
| 1477725968 | Kevin Lemuel Faulkenberry | Counselor | 2025 Ebenezer Rd, Suite J-2, Rock Hill, SC 29732-1062 | 2008-03-25 |
| 1831386564 | Kim Tip Frank | Counselor | 2025 Ebenezer Rd, Suite M1, Rock Hill, SC 29732-1076 | 2007-09-26 |
| 1285782722 | Janice M Olson | Counselor | 2025 Ebenezer Rd, Suite C, Rock Hill, SC 29732-1062 | 2007-01-08 |
| 1346311339 | Renda Kay Faulkenberry | Social Worker | 2025 Ebenezer Rd, Suite J-2, Rock Hill, SC 29732-1062 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| 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 |
|---|---|---|---|---|
| 1225674096 | Resurgence Counseling & Wellness Center LLC | Community/Behavioral Health | 192 Longsight Ln Apt 208, Rock Hill, SC 29730-7857 | 2019-11-26 |
| 1619513983 | Beacon of Hope Counseling Center, L.L.C. | Community/Behavioral Health | 3490 Saluda Rd, Rock Hill, SC 29730-7260 | 2019-11-21 |
| 1215573753 | Elite Consultant Services | Community/Behavioral Health | 454 Anderson Rd S Ste 162, Rock Hill, SC 29730-3398 | 2019-11-19 |
| 1508401399 | Butlers Behavioral Health Services | Community/Behavioral Health | 454 Anderson Rd S Ste 144, Rock Hill, SC 29730-3398 | 2019-11-15 |
| 1417511510 | Blue Lotus Counseling, LLC | Community/Behavioral Health | 223 E Main St Ste 401, Rock Hill, SC 29730-4571 | 2019-04-24 |
| 1821580366 | Better Bridges | Community/Behavioral Health | 1637 Squire Rd, Rock Hill, SC 29730-5564 | 2018-05-31 |
| 1811417488 | Start Fresh Academy | Community/Behavioral Health | 518 North Ave Ste C, Rock Hill, SC 29732-3050 | 2017-06-23 |
| 1194254433 | Building Hope Therapy & Consulting Services, LLC | Community/Behavioral Health | 568 N Anderson Rd, Rock Hill, SC 29730-7300 | 2017-06-09 |
| 1487187522 | Wise Resources | Community/Behavioral Health | 375 Baskins Rd Apt 32, Rock Hill, SC 29730-7705 | 2017-04-05 |
| 1417409319 | Epiphany Family Services LLC Maryland | Community/Behavioral Health | 568 Anderson Rd N, Rock Hill, SC 29730-7300 | 2016-10-27 |
| Find all providers in ROCK HILL | ||||
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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.