PSYCHOTHERAPY AND CONSULTATION (NPI# 1740630045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740630045 |
| Entity Type | Organization |
| Organization Name | PSYCHOTHERAPY AND CONSULTATION |
| Practice Address |
504 Parkview Dr Spartanburg SC 29302-4019 |
| Practice Telephone | 8645040708 |
| Mailing Telephone | 8645040708 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-08-10 |
| Authorized Official Name | LISA L JUDD (SOLE PROPRIETOR) |
| Authorized Official Telephone | 8645040708 |
| Authorized Official Credential | LISW-CP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 0069 | SC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SW1292-1417958448 | 05 |
| Street Address |
504 PARKVIEW DR |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29302-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417958448 | Lisa L Judd | Social Worker | 504 Parkview Dr, Spartanburg, SC 29302-4019 | 2005-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
| Find all providers in zip 29302 | ||||
| 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 |
|---|---|---|---|---|
| 1619339223 | New Day, Inc. of Spartanburg | Community/Behavioral Health | 1425 John B White Sr Blvd, Spartanburg, SC 29306-3919 | 2016-03-23 |
| 1124402839 | St. Luke's Free Medical Clinic | Community/Behavioral Health | 162 N Dean St, Spartanburg, SC 29302-1517 | 2015-07-13 |
| 1255742094 | Higher Foucs LLC | Community/Behavioral Health | 2606 Canaan Pointe Dr, Spartanburg, SC 29306-6297 | 2014-05-14 |
| 1326478694 | Rhythm of Hope Counseling LLC | Community/Behavioral Health | 236 Union St, Spartanburg, SC 29302-1924 | 2013-11-22 |
| 1124372982 | Sc Department of Juvenile Justice | Community/Behavioral Health | 180 Magnolia St, Spartanburg, SC 29306-2359 | 2012-11-01 |
| 1780809343 | Dominion Family Services | Community/Behavioral Health | 286 S Spring St, Spartanburg, SC 29306-3009 | 2007-04-17 |
| 1174982276 | New Day, Inc. of Spartanburg | Community/Behavioral Health | 325 S Church St, Spartanburg, SC 29306-5231 | 2016-02-17 |
| 1558727784 | Pathways Family Support Services | Community/Behavioral Health | 150 Kensington Dr, Spartanburg, SC 29306-3983 | 2016-01-04 |
| 1215309869 | Atlantis Psychotherapy and Psychoeducation Center | Community/Behavioral Health | 269 S Church St, Suite 205, Spartanburg, SC 29306-3496 | 2015-10-22 |
| 1942641808 | Script Solutions, LLC | Community/Behavioral Health | 128 Woodridge Dr, Spartanburg, SC 29301-1202 | 2013-07-08 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29302 |
Please comment or provide details below to improve the information on PSYCHOTHERAPY AND CONSULTATION.
| 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.