Healthcare Provider Details

I. General information

NPI: 1750626230
Provider Name (Legal Business Name): RIGHT DIRECTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2012
Last Update Date: 09/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 W MEETING ST
LANCASTER SC
29720-2324
US

IV. Provider business mailing address

502 W MEETING ST
LANCASTER SC
29720-2324
US

V. Phone/Fax

Practice location:
  • Phone: 803-639-7700
  • Fax:
Mailing address:
  • Phone: 803-639-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number9446-CP
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NICOLE VENTOUR
Title or Position: CEO
Credential: MSW, LCSW/LISW-CP
Phone: 803-286-3222