Active NPI
The Family Center of Aiken County, LLC
- Professional Counselor
- North Augusta, SC
National Provider Identifier
1124630868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- THE FAMILY CENTER OF AIKEN COUNTY, LLC
- Practice address
- 1117 Georgia Ave Ste D
North Augusta, SC 29841-6127 - Phone
- (803) 752-0404
- Fax
- (888) 384-2250
- NPI assigned
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edgar Joe Holt Jr., PH.D
- Title
- Owner/Provider
- Phone
- (803) 752-0404
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1117 Georgia Ave Ste D
North Augusta, SC 29841-6127
Mailing address
1117 Georgia Ave Ste D
North Augusta, SC 29841-6127
Phone (803) 752-0404
Other practice location 1
1 Hickman St
Graniteville, SC 29829-2955
Phone (803) 752-0404
National Provider Directory
National Provider DirectoryLocations
1117 Georgia Ave
Ste D
North Augusta, SC 29841
Phone (706) 829-9350
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- North Augusta, SC
- NPI 1376642884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598572800000",
"number": "1124630868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 GEORGIA AVE STE D",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298416127",
"telephone_number": "803-752-0404",
"fax_number": "888-384-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 GEORGIA AVE STE D",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298416127",
"telephone_number": "803-752-0404",
"fax_number": "888-384-2250"
}
],
"practiceLocations": [
{
"address_1": "1 Hickman St",
"address_purpose": "LOCATION",
"city": "Graniteville",
"state": "SC",
"postal_code": "298292955",
"country_code": "US",
"telephone_number": "803-752-0404",
"fax_number": "888-384-2250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE FAMILY CENTER OF AIKEN COUNTY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-22",
"last_updated": "2020-08-28",
"certification_date": "2020-08-23",
"status": "A",
"authorized_official_last_name": "HOLT",
"authorized_official_first_name": "EDGAR",
"authorized_official_middle_name": "JOE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "803-752-0404",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.