Emotional Healing and Recovery, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EMOTIONAL HEALING AND RECOVERY, LLC

Practice address

1166 Camp Creek Rd
Lancaster, SC 29720-8558

Phone

(803) 288-3012

NPI assigned

Feb 23, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Jimiko W FordNPI 1073133559

Title

Owner

Phone

(803) 288-3012

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jimiko W Ford, LCSW, LISW-CP

  • Professional Counselor
  • Lancaster, SC
  • NPI 1073133559

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1114626686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 ELLIS POND DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297307881",
            "telephone_number": "803-288-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 CAMP CREEK RD",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297208558",
            "telephone_number": "803-288-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMOTIONAL HEALING AND RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "JIMIKO",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-288-3012",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Lancaster, SC
• Providers in Lancaster, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.