It's Your Move | |
208 Candi Ln Ste B Columbia SC 29210-8052 | |
(877) 471-9865 | |
(803) 335-5343 |
Full Name | It's Your Move |
---|---|
Speciality | Case Management |
Location | 208 Candi Ln Ste B, Columbia, South Carolina |
Authorized Official Name and Position | Deeneka Lachelle Beach-phelps (CEO) |
Authorized Official Contact | 8774719865 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
It's Your Move 208 Candi Ln Ste B Columbia SC 29210-8052 Ph: (877) 471-9865 | It's Your Move 208 Candi Ln Ste B Columbia SC 29210-8052 Ph: (877) 471-9865 |
NPI Number | 1407694920 |
---|---|
Provider Enumeration Date | 07/18/2024 |
Last Update Date | 08/07/2025 |
Certification Date | 08/07/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407694920 | NPI | - | NPPES |
CM1085 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
251B00000X | Case Management | (* (Not Available)) | Primary |
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