Avondale Therapy

LBN: Avondale Therapy
Avondale Therapy is an health care organization with primary practice located at 845 Savannah Hwy Suite 1C, Charleston SC 29407-7202. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as the primary health care specialty. Avondale Therapy can be contacted via phone (843) 870-0278, or through Richard, Elise via phone (843) 870-0278.

Contact Information

Primary practice address
845 Savannah Hwy Suite 1C Charleston SC 29407-7202
Phone: (843) 870-0278
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Richard, Elise
Phone: (843) 870-0278

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1013375708
LBN Legal business name Avondale Therapy
DBA Doing business as
Authorized official Richard, Elise
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2016
Last updated Feb 9th, 2016 - about 9 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 1013375708 NPPES
South Carolina MEDICAID PC1528

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