Jennie Cassidy Psychologist Llc

LBN: Jennie Cassidy Psychologist Llc
Jennie Cassidy Psychologist Llc is an health care organization with primary practice located at 1511 9Th Ave Ste C , Conway SC 29526-4126. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Jennie Cassidy Psychologist Llc can be contacted via phone (843) 685-0264, or through Cassidy, Jennie May via phone (843) 685-0264.

Contact Information

Primary practice address
1511 9Th Ave Ste C Conway SC 29526-4126
Phone: (843) 685-0264
Fax: (843) 748-0448
Website:
Map and Directions
Authorized official contact:
Name: Cassidy, Jennie May PHD
Phone: (843) 685-0264

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1447884705
LBN Legal business name Jennie Cassidy Psychologist Llc
DBA Doing business as
Authorized official Cassidy, Jennie May PHD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2020
Last updated Feb 26th, 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 1447884705 NPPES
South Carolina MEDICAID PS0674

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