EASLEY COMPREHENSIVE TREATMENT CENTER
NPI 1043058571
Clinic/Center - Methadone in Easley, SC

Active since July 18, 2024CLIA 42D2311767 · Waiver
1651 AND 1653 E MAIN ST., EASLEY, SC 29640(760) 710-0968 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 21, 2024, Jul 18, 2024 (2 updates tracked since 2024).

About Easley Comprehensive Treatment Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASLEY COMPREHENSIVE TREATMENT CENTER (NPI 1043058571) is a healthcare organization registered as a methadone in Easley, South Carolina and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Brian Farley, Vp & Secretary, as its authorized official.

NPPES Registry Identity

NPI1043058571
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameSOUTH CAROLINA CTC, LLC
Location Address1651 AND 1653 E MAIN ST.Easley, SC 29640
Mailing Address6183 Paseo Del Norte Ste 200Carlsbad, CA 92011-1151 · (760) 710-0968
Organization SubpartYesParent: Acadia Healthcare
Authorized OfficialBrian FarleyVp & Secretary · (615) 716-9335
Enumeration DateJuly 18, 2024
Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
NPI 1043058571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1651 AND 1653 E MAIN ST., Easley, SC 29640

Other Names 1

Doing Business AsEasley Comprehensive Treatment Center

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2311767

Easley Comprehensive Treatment Center · Easley, SC
Active · expires Sep 29, 2026
CLIA Number42D2311767
Laboratory TypeOpioid Treatment Program
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorJeffrey Craddock
Laboratory Phone(760) 710-0968
Laboratory LocationEasley Comprehensive Treatment Center1651 And 1653 E Main Street Easley, Easley, SC 29640
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Carolina Ctc, LLC's NPI number?

The NPI number for South Carolina Ctc, LLC is 1043058571. It was assigned to this organization in the NPPES registry on July 18, 2024. The provider is doing business as Easley Comprehensive Treatment Center.

Where is South Carolina Ctc, LLC located?

South Carolina Ctc, LLC is located at 1651 And 1653 E Main St., Easley, SC 29640. The listed phone number is (760) 710-0968.

What is South Carolina Ctc, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does South Carolina Ctc, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2311767) is associated with this NPI, valid through September 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Carolina Ctc, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Molina Healthcare list South Carolina Ctc, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Carolina Ctc, LLC was last updated on August 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.