Jordan A. Bland, MMFT, LMFT
Individual provider Active NPI Marriage & Family Therapist · Taylors, SC
NPI 1396129573 · NPPES record last updated May 1, 2018
Key facts
- NPI
- 1396129573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 4662 (SC)
- Practice address
- 161 Landmark Dr
Taylors, SC 29687-2819 - Phone
- (864) 244-0154
- NPI assigned
- Jul 16, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4662 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory S. Smith & Associates, P.a. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4662 | SC | Yes |
Addresses
Primary practice location
161 Landmark Dr
Taylors, SC 29687-2819
Mailing address
PO Box 1265
Fountain Inn, SC 29644-1054
Other providers in Taylors, SC
- Carolyn Mayer Berg
- Stephanie Lashawn Berger
- Patrick Berner
- Doris Best
- Joe Bryan Blackwell
- Geoffrey Ian Bloomquist
- Blue Ridge Family Chiropractic, LLC
- Norris Ivan Boone
- Camilla Kathlyne Bravo
- Benjamin Broadwater
All providers in Taylors, SC · Marriage & Family Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.