Crescent Child Development Services
LBN: Crescent Child Development Services
Crescent Child Development Services is an health care organization with primary practice located at 966 Governors Ct , Mount Pleasant SC 29464-9257. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty.
Crescent Child Development Services can be contacted via phone (843) 813-1538, or through Gregori, Tara Marie via phone (843) 813-1538.
Contact Information
Primary practice address
966 Governors Ct
Mount Pleasant SC 29464-9257
Phone: (843) 813-1538
Fax: (888) 813-3318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2212 | South Carolina |
Profile Details
| NPI number | 1356621817 |
|---|---|
| LBN Legal business name | Crescent Child Development Services |
| DBA Doing business as | |
| Authorized official | Gregori, Tara Marie MSP, CCC-SLP, BCBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 27th, 2011 |
| Last updated | Apr 10th, 2012 - about 13 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 | 1356621817 | NPPES |
| South Carolina | MEDICAID | EN1160 |
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