Organization Active NPI

Play Therapy Center of Charleston

  • Adolescent and Children Mental Health Clinic/Center
  • Mount Pleasant, SC
National Provider Identifier
1386403608
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
PLAY THERAPY CENTER OF CHARLESTON
Practice address
1037 Chuck Dawley Blvd Ste D-209
Mount Pleasant, SC 29464-4146
Phone
(843) 580-7529
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Hannah Gervais Miller, LPCNPI 1649931601
Title
Therapist/Owner
Phone
(843) 580-7529

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

1037 Chuck Dawley Blvd Ste D-209
Mount Pleasant, SC 29464-4146

Mailing address

875 River Rd
Johns Island, SC 29455-8730
Phone (843) 822-9879

National Provider Directory

National Provider Directory

Locations

1037 Chuck Dawley Blvd
Ste D209
Mount Pleasant, SC 29464
Phone (843) 580-7529

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": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1386403608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 RIVER RD",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558730",
            "telephone_number": "843-822-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 CHUCK DAWLEY BLVD STE D-209",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644146",
            "telephone_number": "843-580-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY THERAPY CENTER OF CHARLESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "GERVAIS",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "843-580-7529",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.