PROFESSIONAL ADDICTION SERVICES LLC (NPI# 1922583277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922583277 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL ADDICTION SERVICES LLC |
| Practice Address |
133 E 1st North St Summerville SC 29483-6873 |
| Mailing Address |
306 Brick Kiln Dr Summerville SC 29483-5415 |
| Practice Telephone | 2547609610 |
| Mailing Telephone | 2547609603 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-04 |
| Authorized Official Name | KATHLEEN WATERS (OWNER) |
| Authorized Official Telephone | 2547609603 |
| Authorized Official Credential | ANP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
133 E 1ST NORTH ST |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29483-6873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003966961 | David Paul Smith | Family Medicine | 133 E 1st North St, Suite 2 Magnolia Square, Summerville, SC 29483-6873 | 2007-01-11 |
| 1114490976 | Summerville Pediatric Eyecare PC | Optometrist | 133 E 1st North St, Summerville, SC 29483-6873 | 2019-01-04 |
| 1225504749 | Summerville Pediatric Eyecare | Optometrist | 133 E 1st North St, Summerville, SC 29483-6873 | 2018-10-23 |
| 1336448828 | Andrea C Pilch | Occupational Therapist | 133 E 1st North St, Suite 4, Summerville, SC 29483-6873 | 2011-03-23 |
| 1710158985 | Total Wellness LLC | Chiropractor | 133 E 1st North St, Suite 4, Summerville, SC 29483-6873 | 2008-03-17 |
| 1477759934 | William D Price, Md | Eyewear Supplier (Equipment, not the service) | 133 E 1st North St, Summerville, SC 29483-6873 | 2007-06-22 |
| 1376668160 | William D. Price | Ophthalmology | 133 E 1st North St, #3 Magnolia Square, Summerville, SC 29483-6873 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
| 1255979431 | Jeanette Louise Virden | Counselor | 200 E 5th North Street, Summerville, SC 29483 | 2019-12-18 |
| 1912477415 | Kaylee Lobo | Nurse Practitioner | 203 Pavilion Street, Summerville, SC 29483 | 2018-11-28 |
| 1962981142 | Jackson Pediatric Dentistry of Summerville | Dentist | 405 West 4th Street North, Summerville, SC 29483 | 2018-08-09 |
| 1558885483 | Allied Medical Respiratory | Durable Medical Equipment & Medical Supplies | 200 W 5th North Street, Summerville, SC 29483 | 2017-08-02 |
| 1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
| 1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
| 1497113617 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St Ste C, Summerville, SC 29483 | 2016-02-02 |
| 1083000798 | Andrea Sartori | Clinical Neuropsychologist | 107 W 5th North St Ste 102, Summerville, SC 29483 | 2015-04-09 |
| 1376931626 | Wendy Davis-jones | Home Health Aide | 203 Lakepointe Ave, Summerville, SC 29483 | 2015-01-08 |
| Find all providers in zip 29483 | ||||
| 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 |
|---|---|---|---|---|
| 1952837387 | Anna Dotson | Community/Behavioral Health | 121 Savannah Ln, Summerville, GA 30747-7055 | 2017-05-04 |
| 1730615162 | Brandon Gurley | Community/Behavioral Health | 244 Briarwood Cir, Summerville, GA 30747-1700 | 2017-05-04 |
| 1487039624 | Solutions 4 Life | Community/Behavioral Health | 1404 Buckthorn Cir, Summerville, SC 29483-1683 | 2015-07-29 |
| 1912338294 | Stephen | Community/Behavioral Health | 9588 Markley Blvd, Summerville, SC 29485-8585 | 2013-12-11 |
| 1912250820 | Highland Rivers Community Service Board | Community/Behavioral Health | 123 Lewis St, Summerville, GA 30747-1260 | 2012-10-17 |
| 1568714871 | Highland Rivers Community Service Board | Community/Behavioral Health | 226 Smith St, Summerville, GA 30747-2152 | 2012-10-10 |
| 1184975211 | Highland Rivers Community Service Board | Community/Behavioral Health | 3563 Back Berryton Rd, Summerville, GA 30747-5620 | 2012-09-28 |
| 1336409655 | All Seasons Counseling Services, LLC | Community/Behavioral Health | 107a Roberta Dr, Summerville, SC 29485-5328 | 2012-05-21 |
| 1790075679 | Lookout Mountain Community Service | Community/Behavioral Health | 341 Ellen St, Summerville, GA 30747-2025 | 2011-04-13 |
| 1801194113 | Lookout Mountain Community Service | Community/Behavioral Health | 74 Maple Dr, Summerville, GA 30747-1744 | 2011-03-10 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29483 |
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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.