# BEAUFORT COUNTY STUDENT MENTAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BCSMH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730869090
- **Authorized official:** BRYANT GORDILLO (ADMINISTRATOR)
- **Authorized official phone:** (843) 815-6789

## Contact information

- **Practice address:** 1555 FORDING ISLAND RD STE C1, HILTON HEAD ISLAND, SC 29926-1176
- **Practice address phone:** (843) 815-6789
- **Practice address fax:** (843) 815-6788
- **Mailing address:** 20 TOWNE DR STE 277, BLUFFTON, SC 29910-4204
- **Mailing address phone:** (843) 815-6789
- **Mailing address fax:** (843) 815-6788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2023
- **Last updated:** 08/04/2023