Organization Active NPI

Lowcountry Psychiatric Group

  • Mental Health Counselor
  • Mount Pleasant, SC
National Provider Identifier
1407415458
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LOWCOUNTRY PSYCHIATRIC GROUP
Practice address
913 Bowman Rd Ste 104
Mount Pleasant, SC 29464-3235
Phone
(843) 216-2535
Fax
(843) 216-2535
NPI assigned
Jun 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
Holly Hodge
Title
Business Office Manager
Phone
(843) 216-2535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

913 Bowman Rd Ste 104
Mount Pleasant, SC 29464-3235

Mailing address

913 Bowman Rd Ste 104
Mount Pleasant, SC 29464-3235
Phone (843) 216-2535

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1407415458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 BOWMAN RD STE 104",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643235",
            "telephone_number": "843-216-2535",
            "fax_number": "843-216-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 BOWMAN RD STE 104",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643235",
            "telephone_number": "843-216-2535",
            "fax_number": "843-216-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY PSYCHIATRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "843-216-2535"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, 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 Jun 12, 2019; 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.