Provider Demographics
NPI:1730487612
Name:HEALTHYFAMILIES2010
Entity Type:Organization
Organization Name:HEALTHYFAMILIES2010
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERIOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-318-5034
Mailing Address - Street 1:105 S FRANKLIN DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-4364
Mailing Address - Country:US
Mailing Address - Phone:803-318-5034
Mailing Address - Fax:843-407-7947
Practice Address - Street 1:105 S FRANKLIN DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4364
Practice Address - Country:US
Practice Address - Phone:803-318-5034
Practice Address - Fax:843-407-7947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty