NPIMap

Organization Active NPI

Trinity Behavioral Care - Marlboro Office

  • Community/Behavioral Health Agency
  • Bennettsville, SC
National Provider Identifier
1497817613
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
OTP-004 Issued in SC
Legal business name
TRINITY BEHAVIORAL CARE - MARLBORO OFFICE
Practice address
211 N. Marlboro St.
Bennettsville, SC 29512-1053
Phone
(843) 479-5683
Fax
(843) 479-5685
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. William T. O'Connor
Title
Executive Director
Phone
(843) 423-8292

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X OTP-004 SC
Community/Behavioral Health Agency 251S00000X OTP-004 SC Primary

Addresses

Primary practice location

211 N. Marlboro St.
Bennettsville, SC 29512-1053

Mailing address

PO Box 1053
Bennettsville, SC 29512-1053
Phone (843) 479-5683

Other identifiers 1

IdentifierTypeStateIssuer
AD19MLMedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Trinity Behavioral Care Dillon Office6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1497817613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1053",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295121053",
            "telephone_number": "843-479-5683",
            "fax_number": "843-479-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N. MARLBORO ST.",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295121053",
            "telephone_number": "843-479-5683",
            "fax_number": "843-479-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY BEHAVIORAL CARE - MARLBORO OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-423-8292",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "OTP-004",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "OTP-004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD19ML",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennettsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.