Community Wellness Group Llc

LBN: Community Wellness Group Llc
Community Wellness Group Llc is an health care organization with primary practice located at 2430 Atlas Rd Ste 1 , Columbia SC 29209-3625. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Community Wellness Group Llc can be contacted via phone (803) 586-1752, or through Simmons, Kenneth Allan via phone (803) 586-1752.

Contact Information

Primary practice address
2430 Atlas Rd Ste 1 Columbia SC 29209-3625
Phone: (803) 586-1752
Fax: (877) 995-5934
Website:
Map and Directions
Authorized official contact:
Name: Simmons, Kenneth Allan
Phone: (803) 586-1752

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Chiropractic Providers / Chiropractor 111N00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1982144606
LBN Legal business name Community Wellness Group Llc
DBA Doing business as
Authorized official Simmons, Kenneth Allan
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2017
Last updated Dec 7th, 2021 - about 5 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 1982144606 NPPES
South Carolina MEDICAID GP8968

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