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General NPI Number Information
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NPI Number | 1841085909
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Entity Type | Organization
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Legal Business Name | RAGIN WELLNESS CENTER LLC
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 249 MASTERS DR
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City | SUMTER
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State | SC
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Zip | 29154-7700
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Country | US
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Telephone | 803-410-8240
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Fax |
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Provider Business Mailing Address
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Address Line | 249 MASTERS DR
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City | SUMTER
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State | SC
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Zip | 29154-7700
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Country | US
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Telephone | 803-410-8240
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | ANIDRA TIANA RAGIN
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Credential | LMSW
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Telephone | 803-410-8240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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