| The Mary Jenkins Center For Behavioral Health Llc | |
|
3300 W Montague Ave Bldg A Suite 203 North Charleston SC 29418-7916 | |
| (843) 740-6999 | |
| (843) 740-5433 |
| Full Name | The Mary Jenkins Center For Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3300 W Montague Ave, North Charleston, South Carolina |
| Authorized Official Name and Position | James Edward Jenkins (OWNER) |
| Authorized Official Contact | 8437406999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mary Jenkins Center For Behavioral Health Llc 3300 W Montague Ave Bldg A Suite 203 North Charleston SC 29418-7916 Ph: (843) 740-6999 | The Mary Jenkins Center For Behavioral Health Llc 3300 W Montague Ave Bldg A Suite 203 North Charleston SC 29418-7916 Ph: (843) 740-6999 |
| NPI Number | 1205979630 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 04/07/2020 |
| Certification Date | 04/07/2020 |
| Medicare PECOS PAC ID | 4284530775 |
|---|---|
| Medicare Enrollment ID | O20031208000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205979630 | NPI | - | NPPES |
| 1861499816 | Other | SC | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 9864 (South Carolina) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | James Jenkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861499816 PECOS PAC ID: 2668432253 Enrollment ID: I20111220000609 |
Dr. Pascale Mardikian, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9263 Medical Plaza Dr Ste A, North Charleston, SC 29406 Phone: 843-377-1600 Fax: 843-377-1601 | |
North Palm Counseling Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7138 Cross County Rd Ste C, North Charleston, SC 29418 Phone: 843-225-7884 Fax: 843-225-4768 | |
Mental Health America Of Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5060 Dorchester Rd, Suite 200, North Charleston, SC 29418 Phone: 843-974-4686 Fax: 843-974-4683 | |
Dr. Jeffrey S. Selman Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9225 University Blvd, Suite E2c, North Charleston, SC 29406 Phone: 843-569-4546 | |
Living Waters Professional Counseling Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3236 Landmark Dr, North Charleston, SC 29418 Phone: 843-642-1492 | |
Mindfulnest Counseling And Wellness Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3265 N Carolina Ave Ste 200, North Charleston, SC 29405 Phone: 803-949-6031 | |
Positive Feedback Professional Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5269 Rivers Ave, North Charleston, SC 29406 Phone: 843-744-1447 |