Midlands Neurobehavioral Services, Llc
LBN: Midlands Neurobehavioral Services, Llc
Midlands Neurobehavioral Services, Llc is an health care organization with primary practice located at 160 Medical Cir Ste E , West Columbia SC 29169-3639. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty.
Midlands Neurobehavioral Services, Llc can be contacted via phone (803) 708-9638, or through Kirby, Shawna Blake via phone (803) 708-9638.
Contact Information
Primary practice address
160 Medical Cir Ste E
West Columbia SC 29169-3639
Phone: (803) 708-9638
Fax: (888) 352-7678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 1251 | South Carolina |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1251 | South Carolina |
Profile Details
| NPI number | 1447709431 |
|---|---|
| LBN Legal business name | Midlands Neurobehavioral Services, Llc |
| DBA Doing business as | |
| Authorized official | Kirby, Shawna Blake PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 2nd, 2016 |
| Last updated | May 3rd, 2019 - about 5 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 | 1447709431 | NPPES |
| South Carolina | MEDICAID | PS0613 |
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