Carolina Behavioral Health Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAROLINA BEHAVIORAL HEALTH SERVICES

Practice address

130 Broad St
Sumter, SC 29150-4237

Phone

(803) 774-4377

Fax

(803) 774-4378

NPI assigned

Dec 1, 2016

Last updated

Dec 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Micheal Gerod Gore, MSSA, LISW-CPNPI 1427412162

Title

Executive Director

Phone

(803) 467-1263

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Micheal G Gore, MSSA, MSW, LISW

  • Clinical Social Worker
  • Sumter, SC
  • NPI 1427412162
  Authorized official Same address or phone

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1093258444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504237",
            "telephone_number": "803-774-4377",
            "fax_number": "803-774-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504237",
            "telephone_number": "803-774-4377",
            "fax_number": "803-774-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "GEROD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-467-1263",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSSA, LISW-CP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caris Healthcare LLC (Caris Healthcare, Sumter)
• Carla Thomas, DC
• Leah Marie Carlisle, PHARMD
• Marvin Calhoun Carlisle, PHARMD
• Carolina Anesthesia Inc
• Carolina Cataract Clinic (Advantage Eye Care)
• Carolina Children's Dentistry, LLC (Carolina Children's Dentistry Sumter)
• Carolina Diabetes & Kidney Center, LLC
• Carolina Essential Incontinent Supplies
• Carolina Eye Care of Sumter

• Community/Behavioral Health Agency in Sumter, SC
• Providers in Sumter, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.