Organization Active NPI

LRC Substance Abuse and Behavioral Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbia, SC
National Provider Identifier
1083432967
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LRC SUBSTANCE ABUSE AND BEHAVIORAL HEALTH
Practice address
1115 Belleview St
Columbia, SC 29201-1839
Phone
(803) 740-9298
NPI assigned
Sep 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Jazmine McFaddenNPI 1235979261
Title
Owner
Phone
(803) 713-5283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1115 Belleview St
Columbia, SC 29201-1839

Mailing address

PO Box 8724
Columbia, SC 29202-8724

National Provider Directory

National Provider Directory

Locations

1115 Belleview St
Columbia, SC 29201
Phone (803) 740-9298

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1083432967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8724",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292028724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 BELLEVIEW ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011839",
            "telephone_number": "803-740-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LRC SUBSTANCE ABUSE AND BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "MCFADDEN",
        "authorized_official_first_name": "JAZMINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-713-5283"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.