William J. McCord Adolescent Treatment Facility

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

WILLIAM J. MCCORD ADOLESCENT TREATMENT FACILITY

Practice address

910 Cook Rd
Orangeburg, SC 29118-2124

Phone

(803) 534-2328

NPI assigned

May 9, 2022

Organization subpart

No

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

Authorized official

Name

Mike Dennis

Title

Director

Phone

(803) 534-2328

Specialties & licenses 2

Addresses

Practitioners 1

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

• Precious Qiara Suber

  • Counselor
  • Orangeburg, SC
  • NPI 1457098493
  NPD

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1124764568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 MEADOWLAKE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292032418",
            "telephone_number": "803-606-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 COOK RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182124",
            "telephone_number": "803-534-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. MCCORD ADOLESCENT TREATMENT FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-534-2328"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles A White, DC
• Denise L White, MA, CCC-SLP
• Matthew Whitley, PA-C
• Brenda M Wilhite, APRN, BC
• Charlotte Regina Salinas Wilkes, CNM
• Bellrica Williams
• Bryant Williams
• Crystal Denise Williams
• Donyelle Yolanda Williams
• Felicia I Williams, MA

• Counselor in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.