The Calvary Experience

LBN: The Calvary Experience
The Calvary Experience is an health care organization with primary practice located at 2810 Ashley Phosphate Rd Ste B8 , N Charleston SC 29418-6406. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. The Calvary Experience can be contacted via phone (843) 297-4630, or through Williams, Cassandra via phone (843) 834-6038.

Contact Information

Primary practice address
2810 Ashley Phosphate Rd Ste B8 N Charleston SC 29418-6406
Phone: (843) 297-4630
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Williams, Cassandra
Phone: (843) 834-6038

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1982265823
LBN Legal business name The Calvary Experience
DBA Doing business as
Authorized official Williams, Cassandra
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2019
Last updated Jun 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982265823 NPPES
South Carolina MEDICAID 1801452925

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