# 360 CASE MANAGEMENT LLC

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

## Provider details

- **NPI number:** 1497387179
- **Authorized official:** JUANETHEA BRYANT-LORD (OWNER)
- **Authorized official phone:** (803) 226-0236

## Contact information

- **Practice address:** 35 VARDEN DR STE A, AIKEN, SC 29803-5275
- **Practice address phone:** (803) 226-0236
- **Practice address fax:** (803) 226-0335
- **Mailing address:** 35 VARDEN DR STE A, AIKEN, SC 29803-5275
- **Mailing address phone:** (803) 226-0236
- **Mailing address fax:** (803) 226-0335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 163WC0400X | Case Management Registered Nurse | — | NULL | — |
| 163WC0400X | Case Management Registered Nurse | — | — | — |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/10/2020
- **Last updated:** 03/16/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003227886A | — | GA |
| 05 | — | 003227886B | — | GA |
| 05 | — | 003230056A | — | GA |
| 05 | — | EX1856 | — | SC |