South Carolina Mentor

LBN: South Carolina Mentor
South Carolina Mentor is an health care organization with primary practice located at 4 Carriage Ln Suite 302, Charleston SC 29407-6065. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency. Agencies / Community/Behavioral Health is the primary health care specialty. South Carolina Mentor can be contacted via phone (843) 573-1905, or through Poole, Jennifer Mary via phone (843) 513-0040.

Contact Information

Primary practice address
4 Carriage Ln Suite 302 Charleston SC 29407-6065
Phone: (843) 573-1905
Fax: (843) 573-1926
Website:
Map and Directions
Authorized official contact:
Name: Poole, Jennifer Mary BCBA
Phone: (843) 513-0040

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 1-13-12976 South Carolina
Agencies / Early Intervention Provider Agency 252Y00000X 1-13-12976 South Carolina

Profile Details

NPI number 1972845196
LBN Legal business name South Carolina Mentor
DBA Doing business as
Authorized official Poole, Jennifer Mary BCBA
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 26th, 2013
Last updated Mar 26th, 2013 - about 12 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

Popular Providers