NPI Code Details Logo

NPI 1407640972

NPI 1407640972 : ASCLEPIUS LLC : COLUMBIA, SC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1407640972
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ASCLEPIUS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/08/2025
-----------------------------------------------------
    Last Update Date     |    10/17/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    140 STONERIDGE DR STE 430 
-----------------------------------------------------
    City                 |    COLUMBIA
-----------------------------------------------------
    State                |    SC
-----------------------------------------------------
    Zip                  |    29210-8276
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    803-226-7760
-----------------------------------------------------
    Fax                  |    833-301-4044
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    140 STONERIDGE DR STE 430 
-----------------------------------------------------
    City                 |    COLUMBIA
-----------------------------------------------------
    State                |    SC
-----------------------------------------------------
    Zip                  |    29210-8276
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    803-226-7760
-----------------------------------------------------
    Fax                  |    833-301-4044
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     BELINDA  KING 
-----------------------------------------------------
    Credential           |    APRN
-----------------------------------------------------
    Telephone            |    803-226-7760
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.