Organization Active NPI

Justice Works Behavioral Care

  • Counselor
  • Conway, SC
National Provider Identifier
1750627899
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
25150000X Issued in SC
Legal business name
JUSTICE WORKS BEHAVIORAL CARE
Practice address
200 Elm St
Conway, SC 29526-5118
Phone
(843) 488-1615
NPI assigned
Dec 18, 2012
Last updated
Dec 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Mrs. Susan Myers
Title
Therapist
Phone
(843) 359-9279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 25150000X SC Primary

Addresses

Primary practice location

200 Elm St
Conway, SC 29526-5118

Mailing address

200 Elm St
Conway, SC 29526-5118
Phone (843) 488-1615

National Provider Directory

National Provider Directory

Locations

200 Elm St
Conway, SC 29526
Phone (843) 488-1615

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1750627899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ELM ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295265118",
            "telephone_number": "843-488-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ELM ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295265118",
            "telephone_number": "843-488-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTICE WORKS BEHAVIORAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "843-359-9279",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "25150000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.