Provider Demographics
NPI:1669179040
Name:LOWCOUNTRY MENTAL HEALTH, LLC
Entity type:Organization
Organization Name:LOWCOUNTRY MENTAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MITTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-941-6724
Mailing Address - Street 1:7 STONEHEDGE WAY
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-9530
Mailing Address - Country:US
Mailing Address - Phone:303-941-6724
Mailing Address - Fax:
Practice Address - Street 1:10 ARLEY WAY STE 102
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-4883
Practice Address - Country:US
Practice Address - Phone:303-941-6724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty