LANTANA PSYCHIATRY LLC
NPI 1366013823
Psychiatry & Neurology - Addiction Medicine in Mt Pleasant, SC

Q: What is Lantana Psychiatry LLC's NPI number?

The NPI number for Lantana Psychiatry LLC is 1366013823. It was assigned to this organization in the NPPES registry on July 6, 2021.

Q: What is Lantana Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Active since July 06, 2021

1470 BEN SAWYER BLVD STE 6, MT PLEASANT, SC 29464(843) 352-9982 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lantana Psychiatry Llc NPPES

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

LANTANA PSYCHIATRY LLC (NPI 1366013823) is a healthcare organization registered as an addiction medicine in Mt Pleasant, South Carolina and active in the NPI registry since July 2021. The organization lists Carl Dominic Rosa, Board Member, as its authorized official.

NPPES Registry Identity

NPI1366013823

Entity TypeOrganization

Primary Taxonomy2084A0401X

Legal Business NameLANTANA PSYCHIATRY LLC

Location Address1470 BEN SAWYER BLVD STE 6Mt Pleasant, SC 29464-4593

Mailing Address1470 Ben Sawyer Blvd Ste 6Mt Pleasant, SC 29464-4593

Phone(843) 352-9982

Organization SubpartNo

Authorized OfficialCarl Dominic RosaBoard Member · (203) 910-4144

Enumeration DateJuly 6, 2021

NPPES CertifiedJuly 6, 2021

✔ NPI 1366013823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084A0401X

Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

1470 BEN SAWYER BLVD STE 6, Mt Pleasant, SC 29464

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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

Other Providers at the Same Location NPPES

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

WARREN PHILLIPS LMSW

Social Worker

1470 BEN SAWYER BLVD STE 6
MOUNT PLEASANT, SC 29464

Charleston County (843) 352-9982

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 Lantana Psychiatry LLC's NPI number?

The NPI number for Lantana Psychiatry LLC is 1366013823. It was assigned to this organization in the NPPES registry on July 6, 2021.

Where is Lantana Psychiatry LLC located?

Lantana Psychiatry LLC is located at 1470 Ben Sawyer Blvd Ste 6, Mt Pleasant, SC 29464. The listed phone number is (843) 352-9982.

What is Lantana Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

When was this NPI record last updated?

The NPPES record for Lantana Psychiatry LLC was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.