BEAUFORT COUNTY ALCOHOL & DRUG ABUSE DEPARTMENT (NPI# 1487653606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487653606 |
| Entity Type | Organization |
| Organization Name | BEAUFORT COUNTY ALCOHOL & DRUG ABUSE DEPARTMENT |
| Practice Address |
1905 Duke St Ste 270 Beaufort SC 29902-4403 |
| Mailing Address |
Po Box 311 Beaufort SC 29901-0311 |
| Practice Telephone | 8434704545 |
| Practice Fax Number | 8434704557 |
| Mailing Telephone | 8434704545 |
| Mailing Fax Number | 8434704557 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DOUGLAS HAIGH BOYNE JR. (DIRECTOR) |
| Authorized Official Telephone | 8434704550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | AD21BE | 05 |
| Street Address |
1905 DUKE ST STE 270 |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902-4403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669940490 | Keyja Duval Smith | Counselor | 1905 Duke St, Beaufort, SC 29902-4403 | 2018-11-09 |
| 1205304425 | Steve Donaldson | Counselor | 1905 Duke St, Beaufort, SC 29902-4403 | 2018-11-06 |
| 1952849929 | Brielle Myera Mitchell | Counselor | 1905 Duke St, Ste 270, Beaufort, SC 29902-4403 | 2017-02-09 |
| 1154780781 | Beaufort County Alcohol and Drug Abuse Department | Community/Behavioral Health | 1905 Duke St, Ste 270, Beaufort, SC 29902-4403 | 2016-02-10 |
| 1538534383 | Barbara Williams | Counselor | 1905 Duke St, Beaufort, SC 29902-4403 | 2015-12-04 |
| 1518357557 | Isiah Smalls II | Counselor | 1905 Duke St, 270, Beaufort, SC 29902-4403 | 2015-01-29 |
| 1740670108 | Beaufort County Alcohol & Drug Abuse Dept. | Substance Abuse Rehabilitation Facility | 1905 Duke St, 270, Beaufort, SC 29902-4403 | 2015-01-23 |
| 1992138622 | Shavon Jenkins | Counselor | 1905 Duke St, Suite 270, Beaufort, SC 29902-4403 | 2013-08-16 |
| 1982037610 | Caleb William Brown | Counselor | 1905 Duke St, Suite 270, Beaufort, SC 29902-4403 | 2013-08-16 |
| 1073957858 | Vondalyn W Simmons | Counselor | 1905 Duke St, Suite 270, Beaufort, SC 29902-4403 | 2013-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| Find all providers in zip 29902 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740670108 | Beaufort County Alcohol & Drug Abuse Dept. | Substance Abuse Rehabilitation Facility | 1905 Duke St, 270, Beaufort, SC 29902-4403 | 2015-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972143485 | Landmark Recovery of Columbia LLC | Substance Abuse Rehabilitation Facility | 140 Flora Dr, Columbia, SC 29223-5814 | 2020-01-13 |
| 1457800310 | Summit Bhc Cameron, LLC | Substance Abuse Rehabilitation Facility | 5401 Netherby Ln Ste 402, North Charleston, SC 29420-7363 | 2016-10-03 |
| 1235686833 | Summit Bhc Cameron, LLC | Substance Abuse Rehabilitation Facility | 499 Wild Hearts Road, Cameron, SC 29030 | 2016-09-01 |
| 1659776664 | Katonya Alford | Substance Abuse Rehabilitation Facility | 505 N 5th Ave, Dillon, SC 29536-2815 | 2014-11-03 |
| 1609008713 | Steve Austin Facility of Charleston | Substance Abuse Rehabilitation Facility | 1383 Remount Rd, North Charleston, SC 29406-3345 | 2009-08-23 |
| 1063681591 | Givebac Incorporated | Substance Abuse Rehabilitation Facility | 1481 Ted Melton Rd, Chesterfield, SC 29709-6313 | 2008-02-28 |
| 1134158231 | Horry County Comm On Alcohol & Drug Abuse | Substance Abuse Rehabilitation Facility | 2404 Wise Rd, Conway, SC 29526-5521 | 2006-07-01 |
| 1770572448 | Tri-county County Commission On Alcohol and Drug Abuse | Substance Abuse Rehabilitation Facility | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2005-10-17 |
| 1861496234 | Department of Alcohol and Other Drug Abuse Services | Substance Abuse Rehabilitation Facility | 5 Charleston Center Dr, Charleston, SC 29401-1162 | 2005-06-13 |
| 1568096329 | Tanya C Hatton | Substance Abuse Rehabilitation Facility | 2711 Colonial Dr, Columbia, SC 29203-6818 | 2020-03-02 |
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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.