MILLICENT C. JORDAN, LLC (NPI# 1457423535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457423535 |
Entity Type | Organization |
Organization Name | MILLICENT C. JORDAN, LLC |
Other Organization Name | ASHLEY THERAPY ASSOCIATES |
Practice Address |
1 Carriage Ln Ste J Charleston SC 29407-6060 |
Practice Telephone | 8435735050 |
Practice Fax Number | 8435735030 |
Mailing Telephone | 8435735050 |
Mailing Fax Number | 8435735030 |
Enumeration Date | 2006-11-14 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. MILLICENT JORDAN (DIRECTOR) |
Authorized Official Telephone | 8435735050 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
328 | SC | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 202569 | 05 |
Other Name | Type Code |
---|---|
Ashley Therapy Associates | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104953835 | Millicent C. Jordan, LLC | Counselor | 1 Carriage Ln, Bldg. J, Charleston, SC 29407-6060 | 2007-02-28 |
Street Address |
1 CARRIAGE LN STE J |
City | CHARLESTON |
State | SC |
Zip Code | 29407-6060 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316970213 | Robert Manning Nix | Counselor | 1 Carriage Ln Ste J, Charleston, SC 29407-6060 | 2006-07-07 |
1194994020 | Adrienne Coopey Do, LLC | Psychiatry & Neurology | 1 Carriage Ln Ste J, Charleston, SC 29407-6060 | 2008-02-25 |
1104032341 | Sara Marcino, Md, LLC | Psychiatry & Neurology | 1 Carriage Ln Ste J, Charleston, SC 29407-6060 | 2007-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
Find all providers in zip 29407 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811937162 | Richard J Aucoin | Psychologist | 1180 Sam Rittenberg, Suite 251, Charleston, SC 29407 | 2006-06-07 |
1427000520 | Linda S. Geronilla | Psychologist | 92 Cook Dr, Charleston, WV 25314-1003 | 2006-05-17 |
1629034186 | Marci Ann Barton | Psychologist | Charleston Area Medical Center, 3200 Maccorkle Avenue, Se, Charleston, WV 25304 | 2006-04-25 |
1659589398 | Paula Bickham | Psychologist | 16 Leon Sullivan Way, Suite 300, Charleston, WV 25301-2402 | 2007-05-18 |
1952415168 | Mark Alan Mcclain | Psychologist | 1 Poston Rd, Suite 145, Charleston, SC 29407-3424 | 2006-08-18 |
1912931379 | David P. Sarnoff | Psychologist | 7 Gamecock Ave, Suite 706, Charleston, SC 29407-3379 | 2006-07-10 |
1538197686 | Kasey Hamlin-smith | Psychologist | 171 Ashley Ave, Charleston, SC 29425-8903 | 2006-06-29 |
1043263635 | Linda S Geronilla Phd Inc | Psychologist | 92 Cook Dr, Charleston, WV 25314-1003 | 2006-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588262497 | Raising Hope Inc | Psychologist | 223 E Main St Ste 101, Rock Hill, SC 29730-4571 | 2020-10-13 |
1053941898 | Mary Ashley Allen | Psychologist | 1011 Tiger Blvd Ste 610, Clemson, SC 29631-1401 | 2020-01-21 |
1568027662 | Marshall Dewayne Blackwell | Psychologist | 3 Bishop St, Inman, SC 29349-1515 | 2019-05-03 |
1083108187 | Andrew Scott Gibson | Psychologist | 11 N Irvine St Ste 6, Greenville, SC 29601-4902 | 2018-06-21 |
1548706567 | Laura Haley Creel | Psychologist | 126 Langwell Dr, Anderson, SC 29621-3678 | 2017-01-14 |
1699217364 | Counseling and Psychological Services of The Upstate | Psychologist | 224 Holly Ave, Clemson, SC 29631-2347 | 2016-11-13 |
1790235224 | Daniel Dean Trent | Psychologist | 444 Saint Julian Pl, North Augusta, SC 29860-8791 | 2016-10-07 |
1841676970 | Aubrey Ball | Psychologist | 107 Birch Hollow Dr, Columbia, SC 29229-8207 | 2015-07-30 |
1023492253 | Kristen Stevens | Psychologist | 319 Garlington Rd Ste C3, Greenville, SC 29615 | 2015-07-17 |
1891131520 | George Atkinson | Psychologist | 226 Frontage Rd, Clemson, SC 29631-1642 | 2013-05-21 |
Find all providers with the same taxonomy |
City | CHARLESTON |
Zip Code | 29407 |
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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.