180 THERAPY LIFE COACHING & CONSULTING, LLC
NPI 1194425413
Community/Behavioral Health in Rock Hill, SC

Active since March 06, 2023
331 E MAIN ST, ROCK HILL, SC 29730(803) 708-7556 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About 180 THERAPY LIFE COACHING & CONSULTING, LLC

This page provides the complete NPI Profile along with additional information for 180 Therapy Life Coaching & Consulting, Llc, a provider established in Rock Hill, South Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1194425413 assigned on March 2023. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Shukairo Mack Baker Lcsw, Lcas, Rn (Clinical Director)

NPI
1194425413 Verify this NPI
Provider Name
180 THERAPY LIFE COACHING & CONSULTING, LLC
Entity Type
Organization
Location Address
331 E MAIN ST ROCK HILL, SC 29730
Location Phone
(803) 708-7556
Mailing Address
2431 ENCHANTO RD YORK, SC 29745
Mailing Phone
(980) 309-8508
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-06-2023
Last Update Date
03-06-2023
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

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

SHUKAIRO MACK BAKER LCSW, LCAS, RN

Authorized Official Title
CLINICAL DIRECTOR
Authorized Official Phone
(980) 309-8508

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Mental Health)
331 E MAIN ST
ROCK HILL, SC 29730
Case Management
331 E MAIN ST
ROCK HILL, SC 29730
In Home Supportive Care
331 E MAIN ST, SUITE 200
ROCK HILL, SC 29730
Counselor
331 E MAIN ST, STE 200
ROCK HILL, SC 29730
Hospice Care, Community Based
331 E MAIN ST, SUITE 200
ROCK HILL, SC 29730
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
331 E MAIN ST, SUITE 200
ROCK HILL, SC 29730
Social Worker (Clinical)
331 E MAIN ST, SUITE 204
ROCK HILL, SC 29730
Community/Behavioral Health
331 E MAIN ST
ROCK HILL, SC 29730
Case Management
331 E MAIN ST
ROCK HILL, SC 29730
Social Worker
331 E MAIN ST
ROCK HILL, SC 29730
Counselor (Professional)
331 E MAIN ST
ROCK HILL, SC 29730
Counselor (Mental Health)
331 E MAIN ST
ROCK HILL, SC 29730
In Home Supportive Care
331 E MAIN ST
ROCK HILL, SC 29730
Community/Behavioral Health
331 E MAIN ST
ROCK HILL, SC 29730
Behavior Analyst
331 E MAIN ST
ROCK HILL, SC 29730
Assistant Behavior Analyst
331 E MAIN ST
ROCK HILL, SC 29730
Nurse Practitioner (Family)
331 E MAIN ST
ROCK HILL, SC 29730
Assistant Behavior Analyst
331 E MAIN ST
ROCK HILL, SC 29730
Community/Behavioral Health
331 E MAIN ST, SUITE 200
ROCK HILL, SC 29730
Assistant Behavior Analyst
331 E MAIN ST
ROCK HILL, SC 29730

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194425413, enumerated as an "organization" on March 06, 2023.

The provider is located at 331 E MAIN ST ROCK HILL, SC 29730 and the phone number is (803) 708-7556.

Community/Behavioral Health with taxonomy code 251S00000X.