Stroud Community Group

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STROUD COMMUNITY GROUP

Practice address

107 Jarrod CT
Irmo, SC 29063-2137

Phone

(347) 962-0324

NPI assigned

Mar 19, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jamal Lance Stroud

Title

Director

Phone

(347) 962-0324

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458345600000",
    "number": "1417318312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 JARROD CT",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632137",
            "telephone_number": "347-962-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 JARROD CT",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632137",
            "telephone_number": "347-962-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STROUD COMMUNITY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-19",
        "last_updated": "2016-03-19",
        "status": "A",
        "authorized_official_last_name": "STROUD",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "347-962-0324",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Irmo, SC
• Providers in Irmo, 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 Mar 19, 2016; 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.