Healthcare Provider Details

I. General information

NPI: 1598534141
Provider Name (Legal Business Name): THAT IS ENOUGH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2023
Last Update Date: 12/22/2023
Certification Date: 12/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 W MCIVER RD
DARLINGTON SC
29532-5854
US

IV. Provider business mailing address

337 W MCIVER RD
DARLINGTON SC
29532-5854
US

V. Phone/Fax

Practice location:
  • Phone: 843-307-5779
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0800X
TaxonomyRecovery Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT BRADLEY
Title or Position: PRESIDENT
Credential: MSW
Phone: 843-307-5779