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MENTAL HEALTH OF SOUTH CAROLINA
NPI 1366764870
Clinic/Center - Adult Mental Health in Blythewood, SC

Active since February 25, 2010
200 CLAUDE BUNDRICK RD, BLYTHEWOOD, SC 29016(803) 754-5478 Get Directions Write a Review

NPPES record last updated: February 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mental Health Of South Carolina NPPES

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

MENTAL HEALTH OF SOUTH CAROLINA (NPI 1366764870) is a healthcare organization registered as an adult mental health in Blythewood, South Carolina and active in the NPI registry since February 2010. The organization lists Ruth Z Tyler, Care Provider, as its authorized official.

NPPES Registry Identity

NPI1366764870
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameKIVA LODGE
Location Address200 CLAUDE BUNDRICK RDBlythewood, SC 29016-9420
Mailing Address11 S Firetower CtBlythewood, SC 29016 · (803) 754-2328 · Fax (803) 754-2328
Phone(803) 754-5478
Organization SubpartYesParent: Cthii
Authorized OfficialRuth Z TylerCare Provider · (803) 754-5478
Enumeration DateFebruary 25, 2010
✔ NPI 1366764870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
200 CLAUDE BUNDRICK RD, Blythewood, SC 29016
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Other Names 1

Other NameMental Health Of South Carolina

Other Providers at the Same Location NPPES 10

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

MARY SANDRA ALLEYNE-MCMILLAN MHS, LMSW
Counselor (Mental Health)
200 CLAUDE BUNDRICK RD
BLYTHEWOOD, SC 29016
Richland County (803) 754-5478
JESSIE DRIGGERS
Counselor (Mental Health)
200 CLAUDE BUNDRICK RD, KIVA LODGE
BLYTHEWOOD, SC 29016
Richland County (803) 754-5478
MHA
Counselor (Mental Health)
200 CLAUDE BUNDRICK RD
BLYTHEWOOD, SC 29016
Richland County (803) 786-5478
KIMBERLY HUNTER SHIDER
Counselor (Mental Health)
200 CLAUDE BUNDRICK RD, KIVA LODGE
BLYTHEWOOD, SC 29016
Richland County (803) 754-5478
MISS MATRICE SHARNAN ROUSE
Counselor (Mental Health)
200 CLAUDE BUNDRICK RD
BLYTHEWOOD, SC 29016
Richland County (803) 754-5478
DAVID RALPH ABNEY
Counselor (Mental Health)
200 CLAUDE BUNDRICK RD
BLYTHEWOOD, SC 29016
Richland County (803) 796-0353
MS. TAMMRA BUCHANAN
Counselor (Mental Health)
200 CLAUDE BUNDRICK RD
BLYTHEWOOD, SC 29016
Richland County (803) 754-5478
NORWARD EARL JACKSON
Counselor (Mental Health)
200 CLAUDE BUNDRICK RD, KIVA
BLYTHEWOOD, SC 29016
Richland County (803) 754-5478

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 Kiva Lodge's NPI number?

The NPI number for Kiva Lodge is 1366764870. It was assigned to this organization in the NPPES registry on February 25, 2010. The provider is also known as Mental Health Of South Carolina.

Where is Kiva Lodge located?

Kiva Lodge is located at 200 Claude Bundrick Rd, Blythewood, SC 29016. The listed phone number is (803) 754-5478.

What is Kiva Lodge's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Kiva Lodge was last updated on February 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.