location
search-icon
institution
Kiva Lodge
Adult Mental Health Clinic/Center in Blythewood, South Carolina
NPI 1366764870

Kiva Lodge is an Adult Mental Health Clinic/Center based in Blythewood, SC and is specialized in Adult Mental Health. Kiva Lodge practices in Blythewood, SC. The NPI Number for Kiva Lodge is 1366764870 and holds a License No. (South Carolina).

The current practice location address for Kiva Lodge is 200 Claude Bundrick Rd, Blythewood, SC and can be reached out via phone at 803-754-5478.

Location: 200 Claude Bundrick Rd, Blythewood, SC, 29016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366764870
Provider Name
Kiva Lodge
Credential
Provider Entity Type
Organization
Address
200 Claude Bundrick Rd, Blythewood, SC, 29016
Phone Number
803-754-5478
Fax Number
Provider Enumeration Date
02/25/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 Claude Bundrick Rd
City
Blythewood
State
South Carolina
Zip
29016-9420
Phone Number
803-754-5478
Fax Number
person
Provider Business Mailing Address Details
Address
200 Claude Bundrick Rd
City
Blythewood
State
South Carolina
Zip
29016-9420
Phone Number
803-754-5478
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.