The Mediation and Family Services Center, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6922 Issued in SC

Legal business name

THE MEDIATION AND FAMILY SERVICES CENTER, INC.

Practice address

2025 Ebenezer Rd
Suite J-2
Rock Hill, SC 29732-1062

Phone

(803) 366-2525

Fax

(803) 366-2527

NPI assigned

Nov 21, 2007

Last updated

Dec 11, 2007By 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

Mrs. Renda Kay Faulkenberry, LISW-CPNPI 1346311339

Title

President/Therapist

Phone

(803) 366-2525

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Renda Kay Faulkenberry, M.S.W., L.I.S.W.

  • Clinical Social Worker
  • Rock Hill, SC
  • NPI 1346311339
  Authorized official Same address or phone
• Kevin Lemuel Faulkenberry, LMSW

  • Mental Health Counselor
  • Rock Hill, SC
  • NPI 1477725968
  NPD (past)

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1376724070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 EBENEZER RD",
            "address_2": "SUITE J-2",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321062",
            "telephone_number": "803-366-2525",
            "fax_number": "803-366-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 EBENEZER RD",
            "address_2": "SUITE J-2",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321062",
            "telephone_number": "803-366-2525",
            "fax_number": "803-366-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDIATION AND FAMILY SERVICES CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "FAULKENBERRY",
        "authorized_official_first_name": "RENDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT/THERAPIST",
        "authorized_official_telephone_number": "803-366-2525",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "6922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Rock Hill, SC
• Providers in Rock Hill, 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 Dec 11, 2007; 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.