Organization
THE MARY JENKINS CENTER FOR BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES EDWARD JENKINS M.D. (OWNER)
(843) 740-6999
Entity
Organization
Contact information
Practice address
3300 W MONTAGUE AVE, BLDG A SUITE 203, NORTH CHARLESTON, SC 29418-7916
(843) 740-6999
(843) 740-5433
Mailing address
3300 W MONTAGUE AVE, BLDG A SUITE 203, NORTH CHARLESTON, SC 29418-7916
(843) 740-6999
(843) 740-5433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9864
SC
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861499816
INDIVIDUAL NPI
SC
Enumeration date
02/15/2007
Last updated
04/07/2020
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