Organization Active NPI

State-Bound Treatment Services LLC.

  • Mental Health Counselor
  • Greer, SC
National Provider Identifier
1265672844
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
STATE-BOUND TREATMENT SERVICES LLC.
Practice address
112 Sugar Creek Road
Greer, SC 29650
Phone
(864) 906-1043
NPI assigned
Feb 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Mr. George James Bravakis, LICENSED MASTER OF SNPI 1386886091
Title
Programdirector/Lead Clinical Staff
Phone
(864) 906-1043

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

112 Sugar Creek Road
Greer, SC 29650

Mailing address

112 Sugar Creek Road
Greer, SC 29650
Phone (864) 906-1043

National Provider Directory

National Provider Directory

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": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1265672844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SUGAR CREEK ROAD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "29650",
            "telephone_number": "864-906-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SUGAR CREEK ROAD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "29650",
            "telephone_number": "864-906-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE-BOUND TREATMENT SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "BRAVAKIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PROGRAMDIRECTOR/LEAD CLINICAL STAFF",
        "authorized_official_telephone_number": "864-906-1043",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICENSED MASTER OF S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.