Provider Demographics
NPI:1821546052
Name:PROJECT CALM LLC
Entity Type:Organization
Organization Name:PROJECT CALM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:MSW,LCSW,LCASA
Authorized Official - Phone:803-431-7100
Mailing Address - Street 1:7223 DOVE FIELD LN
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29707-7846
Mailing Address - Country:US
Mailing Address - Phone:803-431-7100
Mailing Address - Fax:843-456-2063
Practice Address - Street 1:7223 DOVE FIELD LN
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29707-7846
Practice Address - Country:US
Practice Address - Phone:803-431-7100
Practice Address - Fax:843-456-2063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-16
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC010289251S00000X
NC3081-A251S00000X
SC9639251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health