Carolina Pediatric Therapy Services, Llc

LBN: Carolina Pediatric Therapy Services, Llc
Carolina Pediatric Therapy Services, Llc is an health care organization with primary practice located at 1000 Pine St W , Varnville SC 29944-4750. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Carolina Pediatric Therapy Services, Llc can be contacted via phone (803) 942-0532, or through Johnson, Samantha via phone (803) 942-0532.

Contact Information

Primary practice address
1000 Pine St W Varnville SC 29944-4750
Phone: (803) 942-0532
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Samantha MA,CCC-SLP
Phone: (803) 942-0532

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5345 South Carolina

Profile Details

NPI number 1003368416
LBN Legal business name Carolina Pediatric Therapy Services, Llc
DBA Doing business as
Authorized official Johnson, Samantha MA,CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2016
Last updated Nov 2nd, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003368416 NPPES
South Carolina MEDICAID SA1505

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