MHA
NPI 1285962886
Counselor - Mental Health in Blythewood, SC

Active since November 20, 2009
200 CLAUDE BUNDRICK RD, BLYTHEWOOD, SC 29016(803) 786-5478 Get Directions Write a Review

NPPES record last updated: November 20, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor
  • Mental Health

About MHA

This page provides the complete NPI Profile along with additional information for Mha, a provider established in Blythewood, South Carolina operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1285962886 assigned on November 2009. The practitioner's primary taxonomy code is 101YM0800X with license number 101YM0800X (SC). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Carlissa Y Goodwin (Care Provider)

NPI
1285962886 Verify this NPI
Provider Name
MHA
Entity Type
Organization
Location Address
200 CLAUDE BUNDRICK RD BLYTHEWOOD, SC 29016
Location Phone
(803) 786-5478
Mailing Address
419 TORWOOD DR COLUMBIA, SC 29203
Mailing Phone
(803) 714-0948
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-20-2009
Last Update Date
11-20-2009
Code Navigator

A mental health counselor like Mha provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

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

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
101YM0800X
License State
SC

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

MS. CARLISSA Y GOODWIN

Authorized Official Title
CARE PROVIDER
Authorized Official Phone
(803) 735-9680

Reviews for MHA

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Counselor (Mental Health)
200 CLAUDE BUNDRICK RD
BLYTHEWOOD, SC 29016
Counselor (Mental Health)
200 CLAUDE BUNDRICK RD
BLYTHEWOOD, SC 29016
Counselor (Mental Health)
200 CLAUDE BUNDRICK RD
BLYTHEWOOD, SC 29016
Counselor (Mental Health)
200 CLAUDE BUNDRICK RD, KIVA
BLYTHEWOOD, SC 29016
Counselor (Mental Health)
200 CLAUDE BUNDRICK RD, KIVA LODGE
BLYTHEWOOD, SC 29016
Counselor (Mental Health)
200 CLAUDE BUNDRICK RD, KIVA LODGE
BLYTHEWOOD, SC 29016
Nurse's Aide
200 CLAUDE BUNDRICK RD
BLYTHEWOOD, SC 29016
Counselor (Mental Health)
200 CLAUDE BUNDRICK RD
BLYTHEWOOD, SC 29016
Community Based Residential Treatment Facility, Mental Illness
200 CLAUDE BUNDRICK RD
BLYTHEWOOD, SC 29016
Clinic/Center (Adult Mental Health)
200 CLAUDE BUNDRICK RD
BLYTHEWOOD, SC 29016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285962886, enumerated as an "organization" on November 20, 2009.

The provider is located at 200 CLAUDE BUNDRICK RD BLYTHEWOOD, SC 29016 and the phone number is (803) 786-5478.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.