GOOD KIDS INC


Address: 5203 N Main St, Columbia, SC 29203-4520
Phone: 8032165397

GOOD KIDS INC (NPI# 1801205265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801205265
Entity Type Organization
Organization Name GOOD KIDS INC
Practice Address 5203 N Main St
Columbia
SC 29203-4520
Mailing Address 112 Beaver Creek Dr
Columbia
SC 29223-7750
Practice Telephone 8032165397
Enumeration Date 2014-08-10
Last Update Date 2014-08-10
Authorized Official Name ROBERT WYLIE (DIRECTOR)
Authorized Official Telephone 8035300277
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1164831723 Good Kids Inc Community/Behavioral Health 2027 Lake Carolina Dr, Columbia, SC 29229-7030 2014-08-07

Office Location

Street Address 5203 N MAIN ST
City COLUMBIA
State SC
Zip Code 29203-4520

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1053938852 Garrison Glenn Rice Family Medicine Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-29
1053938977 Rachel Ellen Harper Obstetrics & Gynecology The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-26
1609493592 Elizabeth Marie Kern Orthopaedic Surgery Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 2020-06-26
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1508470840 Christine Schaub Counselor 214 Autumn Run Cir, Columbia, SC 29229-7622 2020-09-03
1639780190 Courtnay Kopec LLC Counselor 6309 Beechwood Dr, Columbia, MD 21046-1008 2020-08-10
1083224828 Elite Transformant Solutions Counselor 6701 Bailey St, Columbia, SC 29203-7454 2020-08-06
1083223671 Grant B Counseling & Consultation, LLC Counselor 702 Wildlife Ln, Columbia, SC 29209-3464 2020-07-29
1992323166 Deitrich Andera Drayton Counselor 517 Howard St, Columbia, SC 29205-3820 2020-07-13
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Competitor

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City COLUMBIA
Zip Code 29203

Improve Information

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Dataset Information

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.

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