Marcella Holmes

Individual provider Active NPI Early Intervention Provider Agency · Olanta, SC

NPI 1366211807 · NPPES record last updated Dec 26, 2023

Key facts

NPI
1366211807
Entity type
Individual (NPI type 1)
Primary specialty
Early Intervention Provider Agency 252Y00000X
Practice address
589 S Hood St
Olanta, SC 29114-9496
Phone
(803) 847-9269
NPI assigned
Dec 26, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Reach Within Learning LLC Early Intervention Provider Agency Current
since Jul 21, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Yes

Addresses

Primary practice location

589 S Hood St
Olanta, SC 29114-9496

Mailing address

589 S Hood St
Olanta, SC 29114-9496
Phone (803) 847-9269

Other providers in Olanta, SC

All providers in Olanta, SC · Early Intervention Provider Agency in South Carolina

Sources for this page

Verify at the official NPI Registry.