Carolina Family Psychiatry, Llc
LBN: Carolina Family Psychiatry, Llc
Carolina Family Psychiatry, Llc is an health care organization with primary practice located at 300 W Coleman Blvd Suite 201, Mt Pleasant SC 29464-3429. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty.
Carolina Family Psychiatry, Llc can be contacted via phone (843) 971-9495, or through Broderick-Cantwell, John J. via phone (843) 971-9495.
Contact Information
Primary practice address
300 W Coleman Blvd Suite 201
Mt Pleasant SC 29464-3429
Phone: (843) 971-9495
Fax: (843) 971-9697
Website:
Authorized official contact:
Name: Broderick-Cantwell, John J. Doctor of Medicine (MD)
Phone: (843) 971-9495
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 28903 | South Carolina |
Profile Details
NPI number | 1124176896 |
---|---|
LBN Legal business name | Carolina Family Psychiatry, Llc |
DBA Doing business as | |
Authorized official | Broderick-Cantwell, John J. Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 8th, 2007 |
Last updated | Aug 22nd, 2020 - about 4 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 | 1124176896 | NPPES |
South Carolina | Other | 28903 | STATE LICENSE |
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