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EAGLE THERAPEUTIC SERVICES LLC
NPI 1083381297
Clinic/Center - Mental Health (Including Community Mental Health Center) in Rock Hill, SC

Active since August 25, 2021
1565 EBENEZER RD STE 102, ROCK HILL, SC 29732(980) 643-1148 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About EAGLE THERAPEUTIC SERVICES LLC

This page provides the complete NPI Profile along with additional information for Eagle Therapeutic Services Llc, a provider established in Rock Hill, South Carolina operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1083381297 assigned on August 2021. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Paul Maurice Ewing Lpc (Owner/manager)

NPI
1083381297 Verify this NPI
Provider Name
EAGLE THERAPEUTIC SERVICES LLC
Entity Type
Organization
Location Address
1565 EBENEZER RD STE 102 ROCK HILL, SC 29732
Location Phone
(980) 643-1148
Mailing Address
677 NANNYBERRY LN CONCORD, NC 28025
Mailing Phone
(336) 772-5711
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-25-2021
Last Update Date
08-31-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. PAUL MAURICE EWING LPC

Authorized Official Title
OWNER/MANAGER
Authorized Official Phone
(980) 643-1148

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Frequently Asked Questions

What is EAGLE THERAPEUTIC SERVICES LLC's NPI number?

The NPI number assigned to this healthcare provider is 1083381297, enumerated as an "organization" on August 25, 2021.

Where is the provider located?

The provider is located at 1565 EBENEZER RD STE 102 ROCK HILL, SC 29732 and the phone number is (980) 643-1148.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).