FAIRFIELD BEHAVIORAL HEALTH SERVICES (NPI# 1487665055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487665055 |
| Entity Type | Organization |
| Organization Name | FAIRFIELD BEHAVIORAL HEALTH SERVICES |
| Other Organization Name | FAIRFIELD COUNTY SUBSTANCE ABUSE COMMISSION |
| Practice Address |
178 Us Highway 321 Bypass N. Winnsboro SC 29180 |
| Mailing Address |
Po Box 388 Winnsboro SC 29180 |
| Practice Telephone | 8036352335 |
| Practice Fax Number | 8036359695 |
| Mailing Telephone | 8036352335 |
| Mailing Fax Number | 8036359695 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2018-11-16 |
| Authorized Official Name | MR. VERNON LAMONT KENNEDY SR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8036352335 |
| Authorized Official Credential | MA CPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | AD25FA | 05 |
| Other Name | Type Code |
|---|---|
| Fairfield County Substance Abuse Commission | Former Legal Business Name - Organization |
| Street Address |
178 US HIGHWAY 321 BYPASS N. |
| City | WINNSBORO |
| State | SC |
| Zip Code | 29180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356816961 | Adrian L. Odom | Counselor | 178 Us Highway 321 Bypass N., Winnsboro, SC 29180 | 2018-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023651957 | Sean Anthony Maxwell | Peer Specialist | 178 Highway 321 Bypass N., Winnsboro, SC 29180 | 2019-10-23 |
| 1467019778 | Fairfield County Disabilities and Special Needs Board | Early Intervention Provider Agency | 408 W Washington Street, Winnsboro, SC 29180 | 2019-05-22 |
| 1922577204 | Kimberly Speaks Steele | Counselor | 178 Us Highway 321 Bypass N, Winnsboro, SC 29180 | 2018-11-16 |
| 1407376957 | Tiffany L Boyd | Home Health | 409a Crawford St, Winnsboro, SC 29180 | 2017-06-26 |
| 1588902738 | Margarite H. Mccain | Counselor | 200 Calhoun Street, Winnsboro, SC 29180 | 2013-01-23 |
| 1710237268 | Elizabeth Caulder | Pharmacist | 27 Us Hwy 321 Bypass South, Winnsboro, SC 29180 | 2012-09-12 |
| 1801041124 | Jerelyn S Russell | Counselor | 1077 Kincaid Bridge Rd., Winnsboro, SC 29180 | 2008-12-01 |
| 1164683199 | Kimberly G Kinard | Psychiatry & Neurology | 1073 Us Highway 321 Bypass, Winnsboro Mental Health Center, Winnsboro, SC 29180 | 2008-06-23 |
| 1467658732 | Winnsboro Chiropractic | Chiropractor | 143 Hwy. 321 Bypass, Winnsboro, SC 29180 | 2007-06-25 |
| 1710181060 | Kudchadkar Clinic | Pediatrics | 880 West Moultrie St, Suite 100, Winnsboro, SC 29180 | 2007-06-12 |
| Find all providers in zip 29180 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356893416 | Solutions Recovery Center, Inc. | Clinic/Center | 520 Lowndes Hill Rd, Greenville, SC 29607-1405 | 2016-10-25 |
| 1922487610 | Cornerstone Project Sc, LLC | Clinic/Center | 1919 Hampton St, Columbia, SC 29201-3535 | 2015-05-27 |
| 1912345893 | Shoreline Behavioral Health Service | Clinic/Center | 626 Tyson Dr, Pawleys Island, SC 29585-6925 | 2013-06-12 |
| 1801131420 | Recoverylife, LLC | Clinic/Center | 2246 Sumter St, Columbia, SC 29201-1932 | 2012-12-07 |
| 1780934976 | Pavillon Greenville Outpatient Services | Clinic/Center | 101 Pelham Commons Blvd, Greenville, SC 29615-4974 | 2012-09-14 |
| 1437383403 | Center for Behavioral Health South Carolina, Inc | Clinic/Center | 2301 Cosgrove Ave Ste F, North Charleston, SC 29405-7663 | 2009-05-06 |
| 1376691022 | Saluda County Alcohol & Drug Abuse Comm | Clinic/Center | 204 N Ramage St, Saluda, SC 29138-1359 | 2007-01-08 |
| 1053340273 | Greenwood-edgefield-mccormick-abbeville Commission On Alcohol and Drug | Clinic/Center | 1420 Spring St, Greenwood, SC 29646-4057 | 2006-07-01 |
| 1972532075 | Laurens County Commission On Alcohol and Drug Abuse | Clinic/Center | 219 Human Services Road, Clinton, SC 29325 | 2006-07-01 |
| 1972574101 | The Ernest E. Kennedy Center | Clinic/Center | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2006-01-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FAIRFIELD BEHAVIORAL HEALTH SERVICES.
| 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.