Kershaw Counseling, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

365 Issued in SC

Legal business name

KERSHAW COUNSELING, LLC

Practice address

206 N Hampton St
Kershaw, SC 29067-1314

Phone

(803) 246-2123

Fax

(803) 475-4933

NPI assigned

Aug 6, 2007

Last updated

Aug 6, 2007By 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

Mr. Mahlon David Kellin, LISW

Title

Executive Director

Phone

(803) 246-2123

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1801087739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N HAMPTON ST",
            "city": "KERSHAW",
            "state": "SC",
            "postal_code": "290671314",
            "telephone_number": "803-246-2123",
            "fax_number": "803-475-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N HAMPTON ST",
            "city": "KERSHAW",
            "state": "SC",
            "postal_code": "290671314",
            "telephone_number": "803-246-2123",
            "fax_number": "803-475-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERSHAW COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "KELLIN",
        "authorized_official_first_name": "MAHLON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-246-2123",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kathleen Horton
• John R Howell Jr., D.M.D.
• Gabriel Buchanan Ingraham III, DMD
• John F Zeedick MD Inc
• Robin D Johnson, DENTIST
• Kershaw Family Medicine Associates LLC
• Kershaw Family Pharmacy
• James Fletcher Koon, MD
• Lancaster Clinic Corp (Palmetto Family Medicine of Kershaw)
• Lancaster Clinic Corp

• Community/Behavioral Health Agency in Kershaw, SC
• Providers in Kershaw, 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 Aug 6, 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.