New Dominion Community Services Llc

LBN: New Dominion Community Services Llc
New Dominion Community Services Llc is an health care organization with primary practice located at 900 Greenville Drive , Williamston SC 29697-0000. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. New Dominion Community Services Llc can be contacted via phone (864) 847-1818, or through Talib, Idris via phone (864) 847-1818.

Contact Information

Primary practice address
900 Greenville Drive Williamston SC 29697-0000
Phone: (864) 847-1818
Fax: (678) 550-9865
Website:
Map and Directions
Authorized official contact:
Name: Talib, Idris
Phone: (864) 847-1818

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1447654363
LBN Legal business name New Dominion Community Services Llc
DBA Doing business as
Authorized official Talib, Idris
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2014
Last updated Nov 20th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1447654363 NPPES
South Carolina MEDICAID GP6646

Popular Providers