Optimum Mental Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OPTIMUM MENTAL HEALTH LLC

Doing business as

Optimum Mental Health LLC

Practice address

121 Way Pointe Ridge Ave
Little River, SC 29566-7744

Phone

(910) 885-6634

NPI assigned

Jan 7, 2021

Last updated

Jan 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss April Chavis, LPC

Title

Director

Phone

(910) 618-7496

Specialties & licenses 1

Addresses

Other names 1

• Optimum Mental Health LLC Doing business as

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1336737055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WAY POINTE RIDGE AVE",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667744",
            "telephone_number": "910-885-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WAY POINTE RIDGE AVE",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667744",
            "telephone_number": "910-885-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "CHAVIS",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-618-7496",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Mental Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelby Ann Nugent, DMD
• David Anthony Nunez, MD
• Kevin Charles Oconnell
• Susan Maurine Olmschenk, OTR/L
• Optimum Home Health Services
• Mark Howard Overton, M.D.
• Eliud Isai Pabon, MD
• Cynthia Lynn Page, APRN-C
• Pocholo Lawsin Palacio, PT
• Palmetto Care Health and Mental Wellness LLC

• Community/Behavioral Health Agency in Little River, SC
• Providers in Little River, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.