Provider Demographics
NPI:1053679803
Name:C.A.L.M.S. LEARNING AND DEVELOPMENTAL CENTERS, LLC
Entity Type:Organization
Organization Name:C.A.L.M.S. LEARNING AND DEVELOPMENTAL CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:THELVANESA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-708-4532
Mailing Address - Street 1:4824 SMALLWOOD RD
Mailing Address - Street 2:UNIT 202
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-3232
Mailing Address - Country:US
Mailing Address - Phone:803-708-4532
Mailing Address - Fax:
Practice Address - Street 1:4824 SMALLWOOD RD
Practice Address - Street 2:UNIT 202
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-3232
Practice Address - Country:US
Practice Address - Phone:803-708-4532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4585103TS0200X, 251S00000X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health