Healthcare Provider Details

I. General information

NPI: 1396214987
Provider Name (Legal Business Name): IT'S YOUR MOVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2018
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 CANDI LN STE B
COLUMBIA SC
29210-8052
US

IV. Provider business mailing address

425 SUMMIT TERRACE CT BLDG 7B
COLUMBIA SC
29229-7055
US

V. Phone/Fax

Practice location:
  • Phone: 877-471-9865
  • Fax: 803-335-5343
Mailing address:
  • Phone: 877-471-9865
  • Fax: 803-335-5343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DEENEKA LACHELLE BEACH-PHELPS
Title or Position: CHEIF OPERATIONS OFFICER
Credential:
Phone: 252-217-0747