Acting Out Loud Therapy, Llc
LBN: Acting Out Loud Therapy, Llc
Acting Out Loud Therapy, Llc is an health care organization with primary practice located at 1156 Bowman Rd Unit 207 , Mt Pleasant SC 29464-3858. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Acting Out Loud Therapy, Llc can be contacted via phone (818) 442-9055, or through Payne, Shanta via phone (818) 442-9055.
Contact Information
Primary practice address
1156 Bowman Rd Unit 207
Mt Pleasant SC 29464-3858
Phone: (818) 442-9055
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1730917675 |
|---|---|
| LBN Legal business name | Acting Out Loud Therapy, Llc |
| DBA Doing business as | |
| Authorized official | Payne, Shanta PSYD-LPC, CAGCS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 23rd, 2024 |
| Last updated | Jul 23rd, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730917675 | NPPES |
| South Carolina | MEDICAID | PC2334 |
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