Provider Demographics
NPI:1811386840
Name:EPIPHANY FAMILY SERVICES SC
Entity Type:Organization
Organization Name:EPIPHANY FAMILY SERVICES SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:KATY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLNER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:803-324-0201
Mailing Address - Street 1:454 ANDERSON RD S
Mailing Address - Street 2:STE 313
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-3392
Mailing Address - Country:US
Mailing Address - Phone:803-324-0201
Mailing Address - Fax:
Practice Address - Street 1:454 ANDERSON RD S
Practice Address - Street 2:STE 313
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-3392
Practice Address - Country:US
Practice Address - Phone:803-324-0201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health