Beaufort County Student Mental Health LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BEAUFORT COUNTY STUDENT MENTAL HEALTH LLC

Doing business as

Bcsmh

Practice address

1555 Fording Island Rd Ste C1
Hilton Head Island, SC 29926-1176

Phone

(843) 815-6789

Fax

(843) 815-6788

NPI assigned

Jul 21, 2023

Last updated

Aug 4, 2023By 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

Bryant Gordillo

Title

Administrator

Phone

(843) 815-6789

Specialties & licenses 1

Addresses

Other names 1

• BCSMH Doing business as

Locations

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1730869090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TOWNE DR STE 277",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104204",
            "telephone_number": "843-815-6789",
            "fax_number": "843-815-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 FORDING ISLAND RD STE C1",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261176",
            "telephone_number": "843-815-6789",
            "fax_number": "843-815-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT COUNTY STUDENT MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "GORDILLO",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-815-6789"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BCSMH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marissa Anne Barrett-D'Amico
• Jordan Henry Bates, DPT
• Victoria Bates, DPT
• Doris Gay Beatty, M.D.
• Beaufort County Memorial Hospital
• Beaufort Orthopaedic Sports and Spine Center LLC
• Benchmark Healthcare Services LLC
• Sara Elizabeth Beresovoy
• Kerri Diane Bevacqua, PHARMD
• BHS Physician Services of South Carolina PC

• Clinical Social Worker in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.