Organization · Type 2 NPI
Kiva Lodge
Adult Mental Health Clinic/Center · Blythewood, SC
NPI number
1366764870
Active
Practice location
200 Claude Bundrick Rd
Blythewood, SC 29016-9420
Mailing address
11 S Firetower Ct
Blythewood, SC 29016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
10 other providers at this address
- Mental Health AmericaMental Illness Community Based Residential Treatment Facility Blythewood, SC NPI 1942530233
- MhaMental Health Counselor Blythewood, SC NPI 1285962886
- David Ralph AbneyMental Health Counselor Blythewood, SC NPI 1780728709
- Jessie DriggersMental Health Counselor Blythewood, SC NPI 1184807364
- Kimberly Hunter ShiderMental Health Counselor Blythewood, SC NPI 1528187457
- Mary Sandra Alleyne-McMillan, MHS, LMSWMental Health Counselor Blythewood, SC NPI 1023148384
- Matrice Sharnan RouseMental Health Counselor Blythewood, SC NPI 1679690572
- Norward Earl JacksonMental Health Counselor Blythewood, SC NPI 1871612002
- Sharon Foster SandersNurse's Aide Blythewood, SC NPI 1902050362
- Tammra BuchananMental Health Counselor Blythewood, SC NPI 1821237769
Other adult mental health clinic/center providers in Blythewood
About NPI 1366764870
Kiva Lodge's National Provider Identifier is 1366764870, issued on Feb 25, 2010. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Blythewood, SC. The record was last updated on Feb 25, 2010.