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JENNIE CASSIDY PSYCHOLOGIST LLC
NPI 1447884705
Clinic/Center - Mental Health (Including Community Mental Health Center) in Conway, SC

Active since February 26, 2020
1511 9TH AVE STE C, CONWAY, SC 29526(843) 685-0264(843) 748-0448 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jennie Cassidy Psychologist Llc NPPES

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

JENNIE CASSIDY PSYCHOLOGIST LLC (NPI 1447884705) is a healthcare organization registered as a mental health (including community mental health center) in Conway, South Carolina and active in the NPI registry since February 2020. The organization lists Jennie May Cassidy, Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1447884705
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameJENNIE CASSIDY PSYCHOLOGIST LLC
Location Address1511 9TH AVE STE CConway, SC 29526-4126
Mailing Address1192 Jumper Trail CirMyrtle Beach, SC 29588-5289 · (843) 685-0264 · Fax (843) 748-0448
Phone(843) 685-0264
Fax(843) 748-0448
Organization SubpartNo
Authorized OfficialJennie May CassidyPsychologist/owner · (843) 685-0264
Enumeration DateFebruary 26, 2020
✔ NPI 1447884705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1511 9TH AVE STE C, Conway, SC 29526
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Other Names 1

Doing Business AsJennie Cassidy Psychologist Llc

Other Identifiers 1

MedicaidPS0674SC

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 Jennie Cassidy Psychologist LLC's NPI number?

The NPI number for Jennie Cassidy Psychologist LLC is 1447884705. It was assigned to this organization in the NPPES registry on February 26, 2020.

Where is Jennie Cassidy Psychologist LLC located?

Jennie Cassidy Psychologist LLC is located at 1511 9th Ave Ste C, Conway, SC 29526. The listed phone number is (843) 685-0264.

What is Jennie Cassidy Psychologist LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Jennie Cassidy Psychologist LLC was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.