864Pride

LBN: 864Pride
864Pride is an health care organization with primary practice located at 30 Pointe Cir , Greenville SC 29615-3506. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. 864Pride can be contacted via phone (864) 655-5193, or through Davis, Laura via phone (864) 325-1356.

Contact Information

Primary practice address
30 Pointe Cir Greenville SC 29615-3506
Phone: (864) 655-5193
Fax: (864) 655-5183
Website:
Map and Directions
Authorized official contact:
Name: Davis, Laura LISW-CP
Phone: (864) 325-1356

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1790481422
LBN Legal business name 864Pride
DBA Doing business as
Authorized official Davis, Laura LISW-CP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2023
Last updated Feb 3rd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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