Community Wellness Group Llc
LBN: Community Wellness Group Llc
Community Wellness Group Llc is an health care organization with primary practice located at 2430 Atlas Rd Ste 1 , Columbia SC 29209-3625. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Community Wellness Group Llc can be contacted via phone (803) 586-1752, or through Simmons, Kenneth Allan via phone (803) 586-1752.
Contact Information
Primary practice address
2430 Atlas Rd Ste 1
Columbia SC 29209-3625
Phone: (803) 586-1752
Fax: (877) 995-5934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Chiropractic Providers / Chiropractor | 111N00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
| NPI number | 1982144606 |
|---|---|
| LBN Legal business name | Community Wellness Group Llc |
| DBA Doing business as | |
| Authorized official | Simmons, Kenneth Allan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 28th, 2017 |
| Last updated | Dec 7th, 2021 - 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 | 1982144606 | NPPES |
| South Carolina | MEDICAID | GP8968 |
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