Military Spousal Support Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CSM1561 Issued in SC

Legal business name

MILITARY SPOUSAL SUPPORT CENTER

Practice address

410 Oakland Ave
Rock Hill, SC 29730-3530

Phone

(803) 324-1976

Fax

(803) 324-4578

NPI assigned

Nov 24, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Shirley King Miller

Title

President

Phone

(803) 324-1976

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MSSC Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bindu Bennuri, MD

  • Allergy & Immunology (Internal Medicine) Physician
  • Northport, AL
  • NPI 1063511202
  NPD
• Sudha Sagar Bennuri, MD

  • Pediatrics Physician
  • Northport, AL
  • NPI 1619076866
  NPD

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

{
    "created_epoch": "1195862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195862400000",
    "number": "1780865378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 OAKLAND AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303530",
            "telephone_number": "803-324-1976",
            "fax_number": "803-324-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 OAKLAND AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303530",
            "telephone_number": "803-324-1976",
            "fax_number": "803-324-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILITARY SPOUSAL SUPPORT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-24",
        "last_updated": "2007-11-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "KING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-324-1976",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "CSM1561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCH CNS",
            "identifier": "3645P0809X",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiernee Midkiff, RDH
• Brian Mika, MD
• Mikes Hands LLC
• Mila Therapy Services LLC
• Bonita Cherice Miles Mack, O.D.
• Miller and Dixon Orthodontics LLC
• Cecile Mauge Miller Murray, MD
• Miller Orthodontics
• Dennis Wayne Miller, R.PH.
• Douglas S Miller

• Community/Behavioral Health Agency in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2007; 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.