Blueprint for Change

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLUEPRINT FOR CHANGE

Practice address

1110 Paris Ave Ste a
Port Royal, SC 29935-2322

Phone

(843) 524-6112

Fax

(843) 524-6111

NPI assigned

Jan 11, 2008

Last updated

Jan 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Singleton Tabor, CACII, LICDCNPI 1194993592

Title

Administrative Director

Phone

(843) 524-6112

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Julie Singleton Tabor, LICDC

  • Addiction (Substance Use Disorder) Counselor
  • Port Royal, SC
  • NPI 1194993592
  NPD (past) Authorized official

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1609052356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 PARIS AVE STE A",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299352322",
            "telephone_number": "843-524-6112",
            "fax_number": "843-524-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PARIS AVE STE A",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299352322",
            "telephone_number": "843-524-6112",
            "fax_number": "843-524-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEPRINT FOR CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "TABOR",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "SINGLETON",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "843-524-6112",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CACII, LICDC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beaufort-Jasper-Hampton Comprehensive Health Service Inc (BJHCHS Port Royal Pharmacy)
• Beaufort-Jasper-Hampton Comprehensive Health Service,Inc
• Mark Allen Bechtel, D.O.
• Bio-Medical Applications of South Carolina, Inc. (FMC Dialysis Services Low Country Dialysis)
• Yasmine Chate Bivins, PHARMD
• Johnpaul C Boulden, M.ED., LPC
• Alfredo Jorge Brand, MD
• Rose Mindel Brown, RDH
• Brian Joseph Burger, APRN
• Jared Michael Campbell, MSW

• Community/Behavioral Health Agency in Port Royal, SC
• Providers in Port Royal, 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 Jan 11, 2008; 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.