Health Access 360, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

261QHO100X Issued in SC

Legal business name

HEALTH ACCESS 360, LLC

Practice address

4711 Forest Dr Ste 3-276
Columbia, SC 29206-3125

Phone

(803) 261-1291

NPI assigned

Sep 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Pierre H Barakat

Title

Business Associate

Phone

(803) 261-1291

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1508235110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 FOREST DR STE 3-276",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292063125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 FOREST DR STE 3-276",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292063125",
            "telephone_number": "803-261-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH ACCESS 360, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "BARAKAT",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BUSINESS ASSOCIATE",
        "authorized_official_telephone_number": "803-261-1291",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "SC",
            "license": "261QHO100X",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "SC",
            "license": "261QM0850X",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "SC",
            "license": "261QM0855X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Health Service Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.