Organization Active NPI

The Family Center of Aiken County, LLC

  • Professional Counselor
  • North Augusta, SC
National Provider Identifier
1124630868
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Edgar Joe Holt Jr., PH.DNPI 1376642884
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.