Organization Active NPI

Mojo Therapeutics LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rock Hill, SC
National Provider Identifier
1295470904
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MOJO THERAPEUTICS LLC
Practice address
1477 Ebenezer Rd Ste D
Rock Hill, SC 29732-2338
Phone
(803) 579-8558
Fax
(844) 440-1981
NPI assigned
Apr 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Mrs. Alicia D. Muldrow, MSW, LISW-CP, LCASANPI 1740883891
Title
Owner
Phone
(803) 579-8558

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

1477 Ebenezer Rd Ste D
Rock Hill, SC 29732-2338

Mailing address

135 E Main St Ste 213
Rock Hill, SC 29730-4892
Phone (803) 579-8558

Other identifiers 1

IdentifierTypeStateIssuer
LW1076MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.mojotherapeutics.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220727000184 SC Part B Supplier - Clinic/Group Practice 0446632285 Receives reassigned benefits from 1 practitioner
Practice locations: Rock Hill, SC

National Provider Directory

National Provider Directory

Locations

135 E Main St
Ste 213
Rock Hill, SC 29730

1477 Ebenezer Rd
Ste D
Rock Hill, SC 29732
Phone (803) 579-8558

135 E Main St
Ste 204
Rock Hill, SC 29730
Phone (803) 579-8558

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": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1295470904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E MAIN ST STE 213",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304892",
            "telephone_number": "803-579-8558",
            "fax_number": "844-440-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 EBENEZER RD STE D",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322338",
            "telephone_number": "803-579-8558",
            "fax_number": "844-440-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOJO THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "MULDROW",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-579-8558",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LISW-CP, LCASA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LW1076",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.mojotherapeutics.com",
            "affiliation": "N",
            "address_1": "1477 Ebenezer Rd Ste D",
            "city": "Rock Hill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297322338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.