Provider Demographics
NPI:1528387040
Name:MENTAL HEALTH AMERICA-BEAUFORT/JASPER
Entity Type:Organization
Organization Name:MENTAL HEALTH AMERICA-BEAUFORT/JASPER
Other - Org Name:MENTAL HEALTH ASSOCIATION BEAUFORT JASPER
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ARLEIGH
Authorized Official - Last Name:CAYWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-757-3900
Mailing Address - Street 1:PO BOX 1925
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-1925
Mailing Address - Country:US
Mailing Address - Phone:843-757-3900
Mailing Address - Fax:
Practice Address - Street 1:4454 BLUFFTON PARK CRES STE 108
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-9040
Practice Address - Country:US
Practice Address - Phone:843-757-3900
Practice Address - Fax:843-757-8664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-24
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health