Organization
YOUTH FULL INNOVATIONS OF THE CAROLINA'S, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA DENHAM (OWNER)
(864) 326-5113
Entity
Organization
Contact information
Practice address
151 COMMONS WAY STE C1, GREENVILLE, SC 29611-3850
(864) 326-5113
(864) 397-4090
Mailing address
120 WILLOW WINDS DR, COLUMBIA, SC 29210-4454
(864) 326-5113
(864) 397-4090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
291U00000X
Clinical Medical Laboratory
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42D2212370
CLIA
SC
05
—
GP9178
—
SC
Enumeration date
04/29/2019
Last updated
08/25/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us