Eminence Image, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EMINENCE IMAGE, LLC

Practice address

1407 Elmwood Ave
Columbia, SC 29201-2109

Phone

(910) 853-2184

NPI assigned

Aug 28, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Latasha Michelle Bethea

Title

Owner

Phone

(910) 853-2184

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1235685405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 ELMWOOD AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 ELMWOOD AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012109",
            "telephone_number": "910-853-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMINENCE IMAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "BETHEA",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-853-2184",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Embry, DO
• Emerge Essentials, LLC
• Abby Emerick, RN
• Jacqueline Ann Emery, MD
• Lilian Emetu, APRN
• Eminent Medical Services LLC
• Emmanuel Medical & Rehab, LLC
• Emmas Angels LLC
• Michael Harold Emmer II, MD
• Empower Counseling Services, LLC

• Mental Health Counselor in Columbia, SC
• Providers in Columbia, 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 Aug 28, 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.