Carolina Health and Wellness

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

A440 Issued in SC

Legal business name

CAROLINA HEALTH AND WELLNESS

Practice address

317 Silver Fox LN
Columbia, SC 29212-2491

Phone

(803) 606-1738

NPI assigned

Jan 6, 2013

Last updated

Jan 6, 2013By 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

Clarence Stewart Darby III, PHD,PA-C

Title

Owner

Phone

(803) 606-1738

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1357430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357430400000",
    "number": "1811234206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2779 HIGHWAY 15 N",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "290107101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 SILVER FOX LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122491",
            "telephone_number": "803-606-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-06",
        "last_updated": "2013-01-06",
        "status": "A",
        "authorized_official_last_name": "DARBY",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-606-1738",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHD,PA-C"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "SC",
            "license": "A440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Foot Clinic, P.C.
• Carolina Glaucoma and Vision Center
• Carolina Gold Construction, LLC
• Carolina Hair Rejuvenation Clinic LLC
• Carolina Healht & Wellness Center, LLC
• Carolina Health Care, Inc.
• Carolina Healthchoice of Columbia, LLC
• Carolina Interventional Pain Institute, LLC
• Carolina Kidney Specialists, LLC
• Carolina Medical Staffing

• Mental Illness Community Based Residential Treatment Facility in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Illness Community Based Residential Treatment Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2013; 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.