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TABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE, LLC.
NPI 1104145184
Psychiatry & Neurology - Psychiatry in Travelers Rest, SC

Active since May 31, 2010
5 CENTER ST, TRAVELERS REST, SC 29690(864) 908-6372(864) 898-3703 Get Directions Write a Review

NPPES record last updated: March 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2020, Feb 29, 2016 (2 updates tracked since 2016).

About Table Rock Integrated Health And Wellness Practice, Llc. NPPES

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

TABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE, LLC. (NPI 1104145184) is a healthcare organization registered as a psychiatry in Travelers Rest, South Carolina and active in the NPI registry since May 2010. The organization lists Gergana Damianova Dimitrova, Partner, as its authorized official.

NPPES Registry Identity

NPI1104145184
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameTABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE, LLC.
Location Address5 CENTER STTravelers Rest, SC 29690-1826
Mailing Address5 Center StTravelers Rest, SC 29690-1826 · (864) 908-6372 · Fax (864) 898-3703
Phone(864) 908-6372
Fax(864) 898-3703
Organization SubpartNo
Authorized OfficialGergana Damianova DimitrovaPartner · (864) 908-6372
Enumeration DateMay 31, 2010
Last NPPES UpdateMarch 16, 20202 updates tracked since enumeration
NPPES CertifiedMarch 16, 2020
✔ NPI 1104145184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in SC · 30719
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 1223 (SC)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 5825 (SC)
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License 30719 (SC)
5 CENTER ST, Travelers Rest, SC 29690
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES 3

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

HEIDI E. RINEHART LPC
Counselor (Mental Health)
5 CENTER ST
TRAVELERS REST, SC 29690
Greenville County (864) 834-5772
MRS. JODI BROOK CAIN LISW-CP
Social Worker (Clinical)
5 CENTER ST
TRAVELERS REST, SC 29690
Greenville County (864) 404-0760
PAMELA AMATUCCI LISW-CP
Social Worker (Clinical)
5 CENTER ST
TRAVELERS REST, SC 29690
Greenville County (864) 380-5082

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 Table Rock Integrated Health And Wellness Practice, LLC.'s NPI number?

The NPI number for Table Rock Integrated Health And Wellness Practice, LLC. is 1104145184. It was assigned to this organization in the NPPES registry on May 31, 2010.

Where is Table Rock Integrated Health And Wellness Practice, LLC. located?

Table Rock Integrated Health And Wellness Practice, LLC. is located at 5 Center St, Travelers Rest, SC 29690. The listed phone number is (864) 908-6372.

What is Table Rock Integrated Health And Wellness Practice, LLC.'s specialty?

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

What insurance does Table Rock Integrated Health And Wellness Practice, LLC. accept?

Health plans from BlueCross BlueShield of South Carolina list Table Rock Integrated Health And Wellness Practice, 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 Table Rock Integrated Health And Wellness Practice, LLC. was last updated on March 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.