South Carolina Center of Healing

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SOUTH CAROLINA CENTER OF HEALING

Practice address

121A Gadsden St
Chester, SC 29706-2009

Phone

(631) 949-0090

NPI assigned

Sep 14, 2021

Last updated

Sep 14, 2021By 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

Enjoli Rae Ortiz

Title

Owner

Phone

(631) 949-0090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1639849557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 SAND COVE CT",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280374700",
            "telephone_number": "631-949-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121A GADSDEN ST",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297062009",
            "telephone_number": "631-949-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA CENTER OF HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "ENJOLI",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-949-0090"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Shannon, R.N.
• Robert Edward Shannon Jr., DDS
• Marlon D Shelby, PA
• John Duncan Sherer, DMD, PA
• David Thomas Simpson, RPH
• South Carolina CVS Pharmacy LLC (CVS Pharmacy #04386)
• South Carolina Heart Center PA
• South Carolina Podiatric Physicians and Surgeons Group, LLC
• Southern Carolina Surgical
• Southern Home Care Services, Inc.

• Mental Health Counselor in Chester, SC
• Providers in Chester, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.