Florence District One

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SD2101 Issued in SC

Legal business name

FLORENCE DISTRICT ONE

Practice address

1201 E Ashby Rd
Quinby, SC 29506-7330

Phone

(843) 758-6849

NPI assigned

Aug 15, 2016

Organization subpart

No

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

Authorized official

Name

Tanisha Woodberry, LPCI

Title

Therapist

Phone

(843) 758-6849

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tanisha Washington Woodberry

  • Mental Health Counselor
  • Florence, SC
  • NPI 1598219925
  NPD (past)

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1346794773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E ASHBY RD",
            "city": "QUINBY",
            "state": "SC",
            "postal_code": "295067330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E ASHBY RD",
            "city": "QUINBY",
            "state": "SC",
            "postal_code": "295067330",
            "telephone_number": "843-758-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE DISTRICT ONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "WOODBERRY",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "843-758-6849",
        "authorized_official_credential": "LPCI"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "SD2101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kertrina Graham
• K J Pharmacy, Inc
• Omeeka Ladson, MASTERS
• Bethany Danielle McGill, MSCMHC

• Community/Behavioral Health Agency in Quinby, SC
• Providers in Quinby, 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 Aug 15, 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.