Healthcare Provider Details

I. General information

NPI: 1649278565
Provider Name (Legal Business Name): ANDERSON OCONEE BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 MCGEE RD
ANDERSON SC
29625-2104
US

IV. Provider business mailing address

226 MCGEE RD
ANDERSON SC
29625-2104
US

V. Phone/Fax

Practice location:
  • Phone: 864-260-4168
  • Fax: 864-261-7543
Mailing address:
  • Phone: 864-260-4168
  • Fax: 864-261-7543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierAD02AN
Identifier TypeMEDICAID
Identifier StateSC
Identifier Issuer

VIII. Authorized Official

Name: MRS. KAREN B BECK
Title or Position: EXECUTIVE DIRECTOR
Credential: RN
Phone: 864-260-4168