Provider Demographics
NPI:1740419324
Name:NEW DIRECTIONS PSYCHOTHERAPY SVC LLC.
Entity Type:Organization
Organization Name:NEW DIRECTIONS PSYCHOTHERAPY SVC LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:MESIANO
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:803-434-5376
Mailing Address - Street 1:6334 SAINT ANDREWS RD
Mailing Address - Street 2:STE 201
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212-3143
Mailing Address - Country:US
Mailing Address - Phone:803-434-5376
Mailing Address - Fax:
Practice Address - Street 1:6334 SAINT ANDREWS RD
Practice Address - Street 2:STE 201
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-3143
Practice Address - Country:US
Practice Address - Phone:803-434-5376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-05
Last Update Date:2009-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC57291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty