PROVIDENT PLACE (NPI# 1689028912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689028912 |
| Entity Type | Organization |
| Organization Name | PROVIDENT PLACE |
| Practice Address |
418 Bradford Ln Columbia SC 29223-7131 |
| Practice Telephone | 8034476779 |
| Mailing Telephone | 8034476779 |
| Enumeration Date | 2016-04-23 |
| Last Update Date | 2016-04-23 |
| Authorized Official Name | MRS. MARIE FOSTER BROWN (OWNER) |
| Authorized Official Telephone | 8034476779 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760049621 | Provident Place | Behavioral Analyst | 611 Seneca Ridge Ave, N Las Vegas, NV 89084-1315 | 2019-05-24 |
| 1558703827 | Provident Place | Intermediate Care Facility, Mentally Retarded | 20400 Ituma Rd, Apple Valley, CA 92308-4445 | 2013-07-26 |
| 1588006860 | Provident Place | Intermediate Care Facility, Mentally Retarded | 13943 Trigger Ln, Victorville, CA 92392-6333 | 2013-07-26 |
| 1508208877 | Provident Place | Intermediate Care Facility, Mentally Retarded | 15448 Mondamon Rd, Apple Valley, CA 92307-4557 | 2013-07-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Provident Place Wealth Advisor s LLC | 1 White Street, Onancock, Virginia 23417 |
| Street Address |
418 BRADFORD LN |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-7131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| 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 |
|---|---|---|---|---|
| 1902403116 | Pieces 2 Peace Wellness Center, LLC | Community/Behavioral Health | 1105 Belleview St Ste 103, Columbia, SC 29201-1839 | 2020-10-01 |
| 1710507090 | Adahsa Counseling LLC | Community/Behavioral Health | 200 Eascott Pl, Columbia, SC 29229-5502 | 2020-04-16 |
| 1740809862 | Brsi Lp | Community/Behavioral Health | 8901 Farrow Rd, Columbia, SC 29203-8930 | 2020-04-09 |
| 1790324986 | Bransand | Community/Behavioral Health | 402 Nautique Cir, Columbia, SC 29229-7334 | 2020-01-05 |
| 1518513795 | Carolina Family Wellness Clinic, LLC | Community/Behavioral Health | 9153 Two Notch Rd Ste 6, Columbia, SC 29223-5852 | 2019-08-14 |
| 1073174033 | David Hill Consultants, LLC | Community/Behavioral Health | 1818 Pulaski St, Columbia, SC 29201-2381 | 2019-06-21 |
| 1760943005 | Goodecounsel, LLC. | Community/Behavioral Health | 235 Village Walk, Columbia, SC 29209-2166 | 2019-03-28 |
| 1932672961 | Sunshine Counseling Lc | Community/Behavioral Health | 302 Hampton Forest Dr, Columbia, SC 29209-2572 | 2019-01-02 |
| 1285125757 | Carolina Counseling Consultants | Community/Behavioral Health | 7356 Garners Ferry Rd Ste 112, Columbia, SC 29209-2146 | 2018-05-21 |
| 1114414125 | Teal Fire Counseling & Consulting, LLC | Community/Behavioral Health | 10632 Little Patuxent Pkwy Ste 343, Columbia, MD 21044-6239 | 2018-04-16 |
| Find all providers in COLUMBIA | ||||
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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.