Embreya Ballard

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Rock Hill, SC

NPI 1831890110 · NPPES record last updated Mar 14, 2023

Key facts

NPI
1831890110
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
199 Herlong Ave S
Rock Hill, SC 29732-1186
Phone
(803) 323-6833
NPI assigned
Mar 14, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Behavioral Health Addiction (Substance Use Disorder) Past
since Mar 19, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

199 Herlong Ave S
Rock Hill, SC 29732-1186

Mailing address

199 Herlong Ave S
Rock Hill, SC 29732-1186

Other providers in Rock Hill, SC

All providers in Rock Hill, SC · Addiction (Substance Use Disorder) Counselor in South Carolina

Sources for this page

Verify at the official NPI Registry.