| Greater Alliance Behavioral Health | |
|
6037 Landry Ln Indian Land SC 29707-6060 | |
| (803) 979-6171 | |
| (704) 817-1470 |
| Full Name | Greater Alliance Behavioral Health |
|---|---|
| Speciality | Registered Nurse |
| Location | 6037 Landry Ln, Indian Land, South Carolina |
| Authorized Official Name and Position | Celena Nicole Shivers (OWNER) |
| Authorized Official Contact | 8039796171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Alliance Behavioral Health 8180 Regent Pkwy Ste 109 Fort Mill SC 29715-8417 Ph: (803) 979-6171 | Greater Alliance Behavioral Health 6037 Landry Ln Indian Land SC 29707-6060 Ph: (803) 979-6171 |
| NPI Number | 1639851132 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 11/20/2023 |
| Medicare PECOS PAC ID | 5698123016 |
|---|---|
| Medicare Enrollment ID | O20240506000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639851132 | NPI | - | NPPES |
| 1033828207 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Celena N Shivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033828207 PECOS PAC ID: 1951551514 Enrollment ID: I20230329003271 |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9623 Redstone Dr, Ste 300, Indian Land, SC 29707 Phone: 704-667-4840 | |
Quantum Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1040 Edgewater Corporate Pkwy, Indian Land, SC 29707 Phone: 704-763-5117 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6237 Carolina Commons Dr, Suite 101, Indian Land, SC 29707 Phone: 803-548-9393 Fax: 803-548-9590 | |
Kds Consultants, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8351 Charlotte Hwy Ste 200, Indian Land, SC 29707 Phone: 803-285-1082 Fax: 803-283-4329 | |
Mecklenburg Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7666 Charlotte Hwy, Ste 200, Indian Land, SC 29707 Phone: 803-431-8225 | |
Palmetto Medical Group, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1040 Edgewater Corporate Pkwy Suite 101, Indian Land, SC 29707 Phone: 803-548-7007 | |
Mecklenburg Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7666 Charlotte Highway, Suite 200, Indian Land, SC 29707 Phone: 704-302-9600 Fax: 803-431-8225 |