Body & Soul, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4555 Issued in SC

Legal business name

BODY & SOUL, INC

Practice address

192 Timberleaf Dr
Duncan, SC 29334-9290

Phone

(864) 439-6443

NPI assigned

Jun 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. C Jefferson Hood III, PHD

Title

President/Owner

Phone

(864) 439-6443

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Thrive Doing business as

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1629426549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 TIMBERLEAF DR",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293349290",
            "telephone_number": "864-439-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 TIMBERLEAF DR",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293349290",
            "telephone_number": "864-439-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY & SOUL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "C JEFFERSON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "864-439-6443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "4555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH & SOCIAL SERVICE PROVIDERS MARRIAGE & FAMILY THERAPIST",
            "identifier": "1457407660",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Duncan, SC
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.