THE CALVARY EXPERIENCE (NPI# 1982265823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982265823 |
| Entity Type | Organization |
| Organization Name | THE CALVARY EXPERIENCE |
| Practice Address |
2810 Ashley Phosphate Rd Ste B8 N Charleston SC 29418-6406 |
| Practice Telephone | 8432974630 |
| Mailing Telephone | 8432974630 |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-06-21 |
| Authorized Official Name | CASSANDRA WILLIAMS (OWNER) |
| Authorized Official Telephone | 8438346038 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1801452925 | 05 |
| Street Address |
2810 ASHLEY PHOSPHATE RD STE B8 |
| City | N CHARLESTON |
| State | SC |
| Zip Code | 29418-6406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801452925 | Cassandra Williams | Counselor | 2810 Ashley Phosphate Rd Ste B8, N Charleston, SC 29418-6406 | 2019-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710529235 | Safe Keeping Healthcare LLC | Home Health | 2850 Ashley Phoshate Rd Suite J, Charleston, SC 29418 | 2019-10-16 |
| 1487136180 | Aston J Rosenberg | Speech-Language Pathologist | 4362 Leslie St, North Charleston, SC 29418 | 2018-08-30 |
| 1285178996 | Aaron Brown | Counselor | 5060 Dorchester Road, Suite 200, North Charleston, SC 29418 | 2016-12-14 |
| 1003265828 | Health Edge Laser LLC | Chiropractor | 4965 Centre Pointe Dr. Suite 100, North Charleston, SC 29418 | 2016-06-13 |
| 1568866481 | Rickey Ciapha Dennis Sr. | Social Worker | 108 Knightsbridge Drive, North Charleston, SC 29418 | 2014-10-21 |
| 1780086330 | Stephanie Washington | Specialist | 5060 Drochester Rd, North Charleston, SC 29418 | 2014-09-25 |
| 1043631369 | Julian H. Campbell, Dmd PC | Dentist | 3188 W. Montague Ave, North Charleston, SC 29418 | 2014-01-05 |
| 1750660676 | Marie's Home Care | Home Health | 7610 Mcknight St., Apt.a, North Charleston, SC 29418 | 2011-08-09 |
| 1437437548 | Trident General Dentistry, Douglas S Rawls, Dm | Dentist | 6335 Dorchester Road, North Carleston, SC 29418 | 2011-07-25 |
| 1508165291 | Patrick Michael Looser | Internal Medicine | 4969 Centre Pointe Dr Ste 100, North Charleston, SC 29418 | 2011-03-21 |
| Find all providers in zip 29418 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874621 | Safe Harbour Counseling Services | Clinic/Center | 23 Little Creek Rd, Beaufort, SC 29907-1634 | 2020-09-04 |
| 1043821911 | Be Still and Heal, LLC | Clinic/Center | 221 Hillsborough Rd, Columbia, SC 29212-3639 | 2020-08-13 |
| 1932724028 | Balancing Eden Counseling LLC | Clinic/Center | 2607 Woodruff Rd Ste E-1069, Simpsonville, SC 29681-4803 | 2020-06-15 |
| 1720602758 | End-list Possibilities, LLC | Clinic/Center | 2375 E Main St Ste A105, Spartanburg, SC 29307-1400 | 2020-06-05 |
| 1356997746 | Palmetto Therapist LLC | Clinic/Center | 2437c Mineral Springs Rd, Lexington, SC 29072-9145 | 2019-08-13 |
| 1720551070 | Inspirational Hope, LLC | Clinic/Center | 232 15-401 E Bypass, Bennettsville, SC 29512-4440 | 2019-01-09 |
| 1265915649 | Elite Care Family Services | Clinic/Center | 716 Paces Run Ct, Columbia, SC 29223-7949 | 2018-09-11 |
| 1821337098 | Behavioral Health Services LLC | Clinic/Center | 7320 College St, Suite 102, Irmo, SC 29063-2944 | 2013-02-07 |
| 1447512892 | Carolina Child Psychiatry, Pa | Clinic/Center | 1911 Barnwell St Ste A, Columbia, SC 29201-2605 | 2012-06-12 |
| 1184984742 | Autism Academy of South Carolina | Clinic/Center | 2243 Percival Rd, Columbia, SC 29223-4021 | 2012-05-16 |
| Find all providers with the same taxonomy | ||||
| City | N CHARLESTON |
| Zip Code | 29418 |
Please comment or provide details below to improve the information on THE CALVARY EXPERIENCE.
| 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.