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BEDROCK MENTAL HEALTH LLC
NPI 1053141093
Psychiatry & Neurology - Psychiatry in Greer, SC

Active since August 05, 2024CLIA 42D2334805 · Waiver
322 MEMORIAL DR STE 105, GREER, SC 29650(864) 214-5553 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bedrock Mental Health Llc NPPES

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

BEDROCK MENTAL HEALTH LLC (NPI 1053141093) is a healthcare organization registered as a psychiatry in Greer, South Carolina and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through December 1, 2027 and lists Emile Barrouk, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1053141093
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameBEDROCK MENTAL HEALTH LLC
Location Address322 MEMORIAL DR STE 105Greer, SC 29650-1521
Mailing AddressPo Box 14Laurens, SC 29360-0014 · (864) 214-5553
Phone(864) 214-5553
Organization SubpartNo
Authorized OfficialEmile BarroukOwner/authorized Official · (864) 214-5553
Enumeration DateAugust 5, 2024
Last NPPES UpdateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
✔ NPI 1053141093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
322 MEMORIAL DR STE 105, Greer, SC 29650
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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 42D2334805

Bedrock Mental Health · Greer, SC
Active · expires Dec 1, 2027
CLIA Number42D2334805
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorEmile Barrouk
Laboratory Phone(864) 423-0698
Laboratory LocationBedrock Mental Health322 Memorial Drive Suite 105, Greer, SC 29650
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHELLE CREWS
Nurse Practitioner (Family)
322 MEMORIAL DR STE 105
GREER, SC 29650
Greenville County (864) 214-5553

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 Bedrock Mental Health LLC's NPI number?

The NPI number for Bedrock Mental Health LLC is 1053141093. It was assigned to this organization in the NPPES registry on August 5, 2024.

Where is Bedrock Mental Health LLC located?

Bedrock Mental Health LLC is located at 322 Memorial Dr Ste 105, Greer, SC 29650. The listed phone number is (864) 214-5553.

What is Bedrock Mental Health LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Bedrock Mental Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2334805) is associated with this NPI, valid through December 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bedrock Mental Health LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Bedrock Mental Health 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 Bedrock Mental Health LLC was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.