Faithworks Pediatric Innervations, Inc

LBN: Faithworks Pediatric Innervations, Inc
Faithworks Pediatric Innervations, Inc is an health care organization with primary practice located at 318 Moore St , Lake City SC 29560-2551. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Faithworks Pediatric Innervations, Inc can be contacted via phone (843) 394-9799, or through Mckenzie, Betty via phone (843) 394-9799.

Contact Information

Primary practice address
318 Moore St Lake City SC 29560-2551
Phone: (843) 394-9799
Fax: (843) 394-9899
Website:
Map and Directions
Authorized official contact:
Name: Mckenzie, Betty SPEECH PATHOLOGIST
Phone: (843) 394-9799

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4703 South Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 177 South Carolina
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1113 South Carolina

Profile Details

NPI number 1265571558
LBN Legal business name Faithworks Pediatric Innervations, Inc
DBA Doing business as
Authorized official Mckenzie, Betty SPEECH PATHOLOGIST
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265571558 NPPES
South Carolina MEDICAID GP3696

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