At Your Place Healthcare
Nurse Practitioner, Adult Health in Marion, SC. Organization (NPI-2).
NPI number1366110751
StatusActive
Last updated in NPPESApr 21, 2025
Details
- NPI
- 1366110751
- Entity type
- Organization (NPI-2)
- Legal business name
- At Your Place Healthcare
- Organization subpart
- No
- Enumeration date
- Sep 1, 2021
- Certification date
- Apr 21, 2025
- Last updated
- Apr 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
609 N Main St Ste 105Marion, SC 29571-3033
Phone 843-289-5061 · Fax 843-289-5061
Mailing address
404 McTavish Moor CtMarion, SC 29571-6812
Phone 843-289-9061 · Fax 888-405-7861
Authorized official
Kendra McQueen Fling
Owner
8432899061
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