Outward Bound Community Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OUTWARD BOUND COMMUNITY SERVICES, LLC

Practice address

2131 Woodruff Rd Ste 2100
Greenville, SC 29607-5959

Phone

(336) 382-9618

NPI assigned

Jul 8, 2014

Organization subpart

No

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

Authorized official

Name

Derrick McDow

Title

Manager

Phone

(336) 382-9618

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1568878775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 WOODRUFF RD STE 2100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 WOODRUFF RD STE 2100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075959",
            "telephone_number": "336-382-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTWARD BOUND COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "MCDOW",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-382-9618"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Pepin Ott, MSN, FNP
• Andrew T Otto, PA-C
• Deborah Ruth Ousley, LPN
• Donna Shilane Outlaw-Thomas, APRN-PMHNP
• Mitchell Graham Outlaw
• Heather Leone Ouzts, CRNA
• Lora Overacre, CRNA
• Zachariah Overby, MD
• Carianne Overton
• Heather Owen

• Community/Behavioral Health Agency in Greenville, SC
• Providers in Greenville, 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 Jul 8, 2014; 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.