PHC Supportive Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5544 Issued in SC

Legal business name

PHC SUPPORTIVE SERVICES LLC

Practice address

300 W Butler Rd
Suite B
Mauldin, SC 29662-2585

Phone

(864) 478-8688

NPI assigned

Feb 23, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Gerothia McCullough

Title

Owner

Phone

(864) 478-8688

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1073905378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W BUTLER RD",
            "address_2": "SUITE B",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622585",
            "telephone_number": "864-478-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BUTLER RD",
            "address_2": "SUITE B",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622585",
            "telephone_number": "864-478-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHC SUPPORTIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "GEROTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-478-8688",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeenal Patel, PHARM D.
• Pathways Counseling Center
• Zharia Payne
• Angela Rose Peightal, PHARMD
• People'S Choice Home Care, LLC
• Megan Phillips, M.A., CCC-SLP
• Ramon Pino Lueza
• Debbie Ann Plonkey, LMFT
• David Pons, DPT
• Tucker W Poston, PHARMD

• Professional Counselor in Mauldin, SC
• Providers in Mauldin, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.