Healthcare Provider Details

I. General information

NPI: 1407694920
Provider Name (Legal Business Name): IT'S YOUR MOVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2024
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 CANDI LN STE B
COLUMBIA SC
29210-8052
US

IV. Provider business mailing address

208 CANDI LN STE B
COLUMBIA SC
29210-8052
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 Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DEENEKA LACHELLE BEACH-PHELPS
Title or Position: CEO
Credential:
Phone: 877-471-9865