Holy City Pediatric Therapy, Llc

LBN: Holy City Pediatric Therapy, Llc
Holy City Pediatric Therapy, Llc is an health care organization with primary practice located at 2103 Sewee Indian Ct , Mt Pleasant SC 29466-8054. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is the primary health care specialty. Holy City Pediatric Therapy, Llc can be contacted via phone (423) 388-8311, or through Tolley, Dustin via phone (423) 388-8311.

Contact Information

Primary practice address
2103 Sewee Indian Ct Mt Pleasant SC 29466-8054
Phone: (423) 388-8311
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tolley, Dustin DPT
Phone: (423) 388-8311

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1841861176
LBN Legal business name Holy City Pediatric Therapy, Llc
DBA Doing business as
Authorized official Tolley, Dustin DPT
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2021
Last updated Jul 23rd, 2021 - about 4 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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