Active NPI
Selah Behavioral Healthcare LLC
- Mental Health Counselor
- Rock Hill, SC
National Provider Identifier
1609351287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SELAH BEHAVIORAL HEALTHCARE LLC
- Practice address
- 521 Tenby Dr Apt 107
Rock Hill, SC 29730-9254 - Phone
- (828) 855-8170
- NPI assigned
- Sep 28, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberley Michelle Thornburg, MA
- Title
- Ceo
- Phone
- (828) 855-8170
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
521 Tenby Dr Apt 107
Rock Hill, SC 29730-9254
Mailing address
521 Tenby Dr Apt 107
Rock Hill, SC 29730-9254
Phone (828) 855-8170
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Greenville, SC
- NPI 1942938618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538092800000",
"number": "1609351287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 TENBY DR APT 107",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297309254",
"telephone_number": "828-855-8170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 TENBY DR APT 107",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297309254",
"telephone_number": "828-855-8170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELAH BEHAVIORAL HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-28",
"last_updated": "2018-09-28",
"status": "A",
"authorized_official_last_name": "THORNBURG",
"authorized_official_first_name": "KIMBERLEY",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "828-855-8170",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.