Healthcare Provider Details

I. General information

NPI: 1144603697
Provider Name (Legal Business Name): SC2 HEALTHCARE NAVIGATORS, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2015
Last Update Date: 07/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 E MAIN ST STE 200
ROCK HILL SC
29730-5371
US

IV. Provider business mailing address

331 E. MAIN STREET STE. 200
ROCK HILL SC
29730-5371
US

V. Phone/Fax

Practice location:
  • Phone: 803-486-2810
  • Fax: 888-539-4753
Mailing address:
  • Phone: 803-486-2810
  • Fax: 888-539-4753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EBONIQUE MELVADEAN MORMAN
Title or Position: PRESIDENT
Credential:
Phone: 803-486-2810