Organization Active NPI

Regional Behavioral Services LLC

  • Community/Behavioral Health Agency
  • Cheraw, SC
National Provider Identifier
1821499872
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REGIONAL BEHAVIORAL SERVICES LLC
Practice address
102 Duvall St
Cheraw, SC 29520-2406
Phone
(704) 577-2139
NPI assigned
Sep 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Fashenda Little-Gerald
Title
Operations Manager
Phone
(704) 577-2139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SC Primary

Addresses

Primary practice location

102 Duvall St
Cheraw, SC 29520-2406

Mailing address

11012 Persimmon Creek Dr
Mint Hill, NC 28227-6687
Phone (704) 577-2139

National Provider Directory

National Provider Directory

Locations

102 Duvall St
Cheraw, SC 29520

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1821499872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11012 PERSIMMON CREEK DR",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282276687",
            "telephone_number": "704-577-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 DUVALL ST",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295202406",
            "telephone_number": "704-577-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "LITTLE-GERALD",
        "authorized_official_first_name": "FASHENDA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "704-577-2139"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheraw, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.