South Carolina CTC, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

SOUTH CAROLINA CTC, LLC

Doing business as

Ridgeland Comprehensive Treatment Center

Practice address

124 Boardwalk Dr Ste a
Ridgeland, SC 29936-7994

Phone

(760) 710-0968

NPI assigned

Jul 11, 2024

Organization subpart

Yes

Parent organization

ACADIA HEALTHCAREAs reported in NPPES

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

Authorized official

Name

Brian Phillip Farley

Title

VP & Secretary

Phone

(615) 716-9335

Specialties & licenses 3

Addresses

Other names 1

• Ridgeland Comprehensive Treatment Center Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Opioid treatment program

Medicare-enrolled since Dec 18, 2024

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• South Carolina CTC, LLC

  dba Easley Comprehensive Treatment Center

  • Methadone Clinic
  • Easley, SC
  • NPI 1043058571

  O20250228002604

  Same enrollment
• South Carolina CTC, LLC

  dba Clinton Comprehensive Treatment Center

  • Methadone Clinic
  • Clinton, SC
  • NPI 1073350500

  O20250228002604

  Same enrollment

Tax ID family

Clinton Comprehensive Treatment Center3 organizations share this tax ID, including this one

Part of

Haven Behavioral Healthcare

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• South Carolina CTC, LLC

  dba Easley Comprehensive Treatment Center

  • Methadone Clinic
  • Easley, SC
  • NPI 1043058571
  NPD tax ID
• South Carolina CTC, LLC

  dba Clinton Comprehensive Treatment Center

  • Methadone Clinic
  • Clinton, SC
  • NPI 1073350500
  NPD tax ID

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.

• Jeffrey C. Craddock, M.D.

  • Psychiatry Physician
  • Greenville, SC
  • NPI 1174578538
  NPD
• Janet Sue Wilkinson, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Easley, SC
  • NPI 1770694036
  NPD (past)

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1497592927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6183 PASEO DEL NORTE STE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111151",
            "telephone_number": "760-710-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BOARDWALK DR STE A",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299367994",
            "telephone_number": "760-710-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA CTC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA HEALTHCARE",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-716-9335"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgeland Comprehensive Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Marie Todd Smith, M.A., NCC, LPCA
• Natashia L Smith, LPC
• Zacobia C Smith
• Verna Michelle Soles, LPCA
• South Carolina Chiropractic LLC (South Carolina Chiropractic)
• South Carolina Online Counseling and Group Therapy, LLC
• State of South Carolina (SC Dhec)
• Heather Church Stavrakas, NP-C
• Ronda Lynn Stevens, PHD, MS, BS, MHP
• Farante Stewart-Ager

• Methadone Clinic in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• Methadone Clinic in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.