Rideout, Dana M

Rideout, Dana M is an sole proprietor health care provider with primary practice located at 410 University Pkwy. Suite 2300, Aiken SC 29801-6807. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Rideout, Dana M can be contacted via phone (803) 335-1219.

Contact Information

Primary practice address
410 University Pkwy. Suite 2300 Aiken SC 29801-6807
Phone: (803) 335-1219
Fax: (803) 335-1689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5516 South Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5516 South Carolina

Profile Details

NPI number 1710322797
LBN Legal business name Rideout, Dana M
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2013
Last updated Feb 3rd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710322797 NPPES
South Carolina MEDICAID PC1382

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