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Organization
BEAUTIFUL GATE CENTER
Active
Organization
BEAUTIFUL GATE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA M. MUIRHEAD (EXECUTIVE DIRECTOR)
(843) 654-7464
Entity
Organization
Contact information
Practice address
3107 MEETING STREET RD, NORTH CHARLESTON, SC 29405-7980
(843) 654-7464
Mailing address
636 LONG POINT RD, G33, MT PLEASANT, SC 29464-8286
(843) 654-7464
(843) 654-1903
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
NULL
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
—
NULL
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
NULL
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
NULL
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
NULL
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251V00000X
Voluntary or Charitable Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
261Q00000X
Clinic/Center
Primary
—
NULL
261QA3000X
Augmentative Communication Clinic/Center
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
Other
Enumeration date
06/29/2016
Last updated
06/25/2020
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