KERSHAW COUNTY TEEN HEALTH PROMOTION COALITION (NPI# 1801925029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801925029 |
| Entity Type | Organization |
| Organization Name | KERSHAW COUNTY TEEN HEALTH PROMOTION COALITION |
| Practice Address |
110 E Dekalb St Camden SC 29020-4432 |
| Mailing Address |
Po Box 626 Camden SC 29020-0626 |
| Practice Telephone | 8034251892 |
| Mailing Telephone | 8034251892 |
| Mailing Fax Number | 8034251892 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JUANITA MENDENHALL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8034251892 |
| Authorized Official Credential | MA, CFLE, CFCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MC0068 | 05 |
| Street Address |
110 E DEKALB ST |
| City | CAMDEN |
| State | SC |
| Zip Code | 29020-4432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972971117 | Community Medical Clinic of Kershaw County | Clinic/Center | 110 E Dekalb St, Suite C, Camden, SC 29020-4432 | 2015-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
| 1205493871 | Kershaw County Board of Disabilities and Special Needs | Early Intervention Provider Agency | 1619 Jefferson Davis Highway, Camden, SC 29020 | 2019-05-20 |
| 1831669415 | Jennifer Dawn Colby | Counselor | 709 Mill Street, Camden, SC 29020 | 2018-11-27 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1730684036 | Speech Haus, LLC | Clinic/Center | 1029 Broadstreet, Suite 3, Kershaw, SC 29020 | 2018-03-28 |
| 1811414675 | Audra Rowell Scott | Registered Nurse | Kershaw County Health Department, 1116 Church Street, Camden, SC 29020 | 2017-08-23 |
| 1386173789 | Robert James Mccarthy | Specialist/Technologist | 410 Chewning Street, Camden, SC 29020 | 2017-06-08 |
| 1902357205 | First Physical Therapy LLC | Clinic/Center | 1114 Mill St, Camden, SC 29020 | 2016-10-21 |
| 1831598846 | Estate of William J Biggins | Dentist | 1015 Fair Street, Camden, SC 29020 | 2014-08-14 |
| 1154748424 | Diane Mcdonald | Registered Nurse | 1611 Church St, Camden, SC 29020 | 2014-03-25 |
| Find all providers in zip 29020 | ||||
| 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 |
|---|---|---|---|---|
| 1598151292 | Creative Counseling Service, LLC | Community/Behavioral Health | 104 Investors Way, Camden, NC 27921-0000 | 2015-04-09 |
| 1568764074 | Restoring and Equipping Adults and Children With Hope, Inc. | Community/Behavioral Health | 122 Gumberry Rd, Camden, NC 27921-7012 | 2010-12-03 |
| 1346542891 | Hispanic Family Center of Southern Nj Inc | Community/Behavioral Health | 2700 Westfield Ave, Camden, NJ 08105-2427 | 2010-12-03 |
| 1821224114 | Internal Family Relation, Inc | Community/Behavioral Health | 112 Nc Highway 343 S, Camden, NC 27921-9646 | 2009-06-02 |
| 1487804456 | Dayspring Behavioral Health | Community/Behavioral Health | 115 Jefferson St Sw, Camden, AR 71701-3945 | 2008-09-25 |
| 1104016708 | Merakey Parkside Recovery | Community/Behavioral Health | 413 S Broadway, Camden, NJ 08103-1211 | 2007-07-30 |
| 1154449916 | Center for Family Services | Community/Behavioral Health | 594 Benson St, Camden, NJ 08103-1324 | 2007-03-27 |
| 1982722948 | Helt Co | Community/Behavioral Health | 118 Southwood Dr, Camden, AR 71701-9651 | 2007-03-27 |
| 1831216464 | Center for Family Services | Community/Behavioral Health | 560 Benson St, Camden, NJ 08103-1324 | 2007-03-26 |
| 1043355803 | Center for Family Services, Inc. | Community/Behavioral Health | 636 Benson St, Camden, NJ 08103-1437 | 2007-02-20 |
| Find all providers in CAMDEN | ||||
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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.