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
Phone: (803) 327-4357
Fax: (803) 324-4357
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770542540 | NPPES |
| South Carolina | MEDICAID | 229461 | |
| South Carolina | MEDICAID | GP3453 |
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