# TRANSITIONS OF GOLDEN SHIELDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013572940
- **Authorized official:** JOHNNIE C HARDY MPA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (802) 250-1282

## Contact information

- **Practice address:** 85 WADING BIRD LOOP, BLYTHEWOOD, SC 29016-5906
- **Practice address phone:** (802) 250-1282
- **Practice address fax:** (800) 781-1997
- **Mailing address:** PO BOX 188, BLYTHEWOOD, SC 29016-0188
- **Mailing address phone:** (803) 250-1282
- **Mailing address fax:** (800) 781-1997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 177F00000X | Lodging Provider | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 05/06/2019
- **Last updated:** 05/06/2019