Advance Behavioral Medicine. Llc

LBN: Advance Behavioral Medicine. Llc
Advance Behavioral Medicine. Llc is an health care organization with primary practice located at 1156 Ebenezer Rd , Rock Hill SC 29732-3068. 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. Advance Behavioral Medicine. Llc can be contacted via phone (803) 327-4357, or through Valite, Delfin via phone (803) 327-4357.

Contact Information

Primary practice address
1156 Ebenezer Rd Rock Hill SC 29732-3068
Fax: (803) 324-4357
Website:
Authorized official contact:
Name: Valite, Delfin Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 22946 South Carolina

Profile Details

NPI number 1770542540
LBN Legal business name Advance Behavioral Medicine. Llc
DBA Doing business as
Authorized official Valite, Delfin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2006
Last updated Dec 19th, 2007 - about 17 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1770542540 NPPES
South Carolina MEDICAID 229461
South Carolina MEDICAID GP3453

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