Provider Demographics
NPI:1144603697
Name:SC2 HEALTHCARE NAVIGATORS, LLC.
Entity Type:Organization
Organization Name:SC2 HEALTHCARE NAVIGATORS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EBONIQUE
Authorized Official - Middle Name:MELVADEAN
Authorized Official - Last Name:MORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-486-2810
Mailing Address - Street 1:331 E. MAIN STREET STE. 200
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-5371
Mailing Address - Country:US
Mailing Address - Phone:803-486-2810
Mailing Address - Fax:888-539-4753
Practice Address - Street 1:331 E MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-5371
Practice Address - Country:US
Practice Address - Phone:803-486-2810
Practice Address - Fax:888-539-4753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-01
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health