Davia Robinson

Individual provider Active NPI Early Intervention Provider Agency · Effingham, SC

NPI 1003677642 · NPPES record last updated Jan 22, 2024

Key facts

NPI
1003677642
Entity type
Individual (NPI type 1)
Primary specialty
Early Intervention Provider Agency 252Y00000X
Practice address
1236 Barn Owl Rd
Effingham, SC 29541-4720
Phone
(843) 206-9649
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Positively Resilient, LLC Early Intervention Provider Agency Current
since Jul 21, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Yes

Addresses

Primary practice location

1236 Barn Owl Rd
Effingham, SC 29541-4720

Mailing address

1236 Barn Owl Rd
Effingham, SC 29541-4720
Phone (843) 206-9649

Other providers in Effingham, SC

All providers in Effingham, SC · Early Intervention Provider Agency in South Carolina

Sources for this page

Verify at the official NPI Registry.