1. Home
  2. Directory
  3. South Carolina
  4. Liberty
  5. Counselor
  6. NPI Profile

MUSTANG MEDICINE WORKS, LLC
NPI 1396127056
Counselor - Professional in Liberty, SC

Active since June 18, 2015
25 ISELIN ST, LIBERTY, SC 29657(864) 508-0781(206) 309-0077 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mustang Medicine Works, Llc NPPES

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

MUSTANG MEDICINE WORKS, LLC (NPI 1396127056) is a healthcare organization registered as a professional in Liberty, South Carolina and active in the NPI registry since June 2015. The organization lists Darrell Gene Yardley, C.eo., as its authorized official.

NPPES Registry Identity

NPI1396127056
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameMUSTANG MEDICINE WORKS, LLC
Location Address25 ISELIN STLiberty, SC 29657-1508
Mailing AddressPo Box 702Liberty, SC 29657-1508 · (864) 508-0781 · Fax (206) 309-0077
Phone(864) 508-0781
Fax(206) 309-0077
Organization SubpartNo
Authorized OfficialDarrell Gene YardleyC.eo. · (864) 508-0781
Enumeration DateJune 18, 2015
✔ NPI 1396127056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SC · 2584
25 ISELIN ST, Liberty, SC 29657
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

PATRICIA POLLOCK HENRY LPC-I
Counselor (Professional)
25 ISELIN ST
LIBERTY, SC 29657
Pickens County (864) 643-6422

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 Mustang Medicine Works, LLC's NPI number?

The NPI number for Mustang Medicine Works, LLC is 1396127056. It was assigned to this organization in the NPPES registry on June 18, 2015.

Where is Mustang Medicine Works, LLC located?

Mustang Medicine Works, LLC is located at 25 Iselin St, Liberty, SC 29657. The listed phone number is (864) 508-0781.

What is Mustang Medicine Works, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mustang Medicine Works, LLC was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.