Keysha A. Reynolds

LBN: Royal Ivey Wellness, Inc.
Keysha A. Reynolds is an health care organization with primary practice located at 2712 Middleburg Dr Ste 206 , Columbia SC 29204-2415. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Royal Ivey Wellness, Inc. can be contacted via phone (803) 757-4325, or through Reynolds, Keysha via phone (803) 747-4325.

Contact Information

Primary practice address
2712 Middleburg Dr Ste 206 Columbia SC 29204-2415
Phone: (803) 757-4325
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reynolds, Keysha NCC, LPC
Phone: (803) 747-4325

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 6380 South Carolina

Profile Details

NPI number 1174043558
LBN Legal business name Royal Ivey Wellness, Inc.
DBA Doing business as Keysha A. Reynolds
Authorized official Reynolds, Keysha NCC, LPC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2017
Last updated Jun 26th, 2017 - about 9 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 1174043558 NPPES
South Carolina MEDICAID PC1741

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