Organization Active NPI

Epiphany Family Services LLC

  • Counselor
  • Sumter, SC
National Provider Identifier
1548622004
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
EPIPHANY FAMILY SERVICES LLC
Practice address
212 Broad St
Sumter, SC 29150-4102
Phone
(704) 236-4067
Fax
(803) 324-0201
NPI assigned
Mar 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Vera Millner, CSAC
Title
Ceo
Phone
(704) 236-4067

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

212 Broad St
Sumter, SC 29150-4102

Mailing address

212 Broad St
Sumter, SC 29150-4102
Phone (704) 236-4067

National Provider Directory

National Provider Directory
Tax ID family
Epiphany Family Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1548622004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504102",
            "telephone_number": "704-236-4067",
            "fax_number": "803-324-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504102",
            "telephone_number": "704-236-4067",
            "fax_number": "803-324-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "MILLNER",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-236-4067",
        "authorized_official_credential": "CSAC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

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