Bridges Clubhouse Mental Health of America South Carolina
Organization Active NPI Mental Health Counselor · Cayce, SC
NPI 1083815674 · NPPES record last updated Aug 7, 2007
Key facts
- NPI
- 1083815674
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 01858 600 (SC)
- Legal business name
- BRIDGES CLUBHOUSE MENTAL HEALTH OF AMERICA SOUTH CAROLINA
- Practice address
- 2105 Commerce Dr
Cayce, SC 29033-1524 - Phone
- (803) 796-6179
- NPI assigned
- May 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Miss Kelly Ann Tucker, M.R.C.
- Title
- Clinical Counselor
- Phone
- (803) 796-0353
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Bridges Clubhouse
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 01858 600 | SC | Yes |
Addresses
Primary practice location
2105 Commerce Dr
Cayce, SC 29033-1524
Mailing address
2021 Elm Abode Ter
Columbia, SC 29210-7724
Phone (803) 446-4246
Other providers in Cayce, SC
- Ashlynn Elizabeth Bozard
- Rachel Brewster
- Bridges Clubhouse
- Bridges Clubhouse
- Bridges Clubhouse
- Erin Dawn Britt
- Ashley Lashonda Brown
- Maria Brown
- Nikashia Brown
- Melissa Pensmith Bryson
All providers in Cayce, SC · Mental Health Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.