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EARNEST E KENNEDY CENTER
NPI 1881207652
Counselor - Addiction (Substance Use Disorder) in Moncks Corner, SC

Active since August 31, 2020
306 AIRPORT DR, MONCKS CORNER, SC 29461(843) 719-3000 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Earnest E Kennedy Center NPPES

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

EARNEST E KENNEDY CENTER (NPI 1881207652) is a healthcare organization registered as an addiction (substance use disorder) in Moncks Corner, South Carolina and active in the NPI registry since August 2020. The organization maintains a secondary practice location in Goose Creek and lists Jerome Tilghman, Director, as its authorized official.

NPPES Registry Identity

NPI1881207652
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameEARNEST E KENNEDY CENTER
Location Address306 AIRPORT DRMoncks Corner, SC 29461-2629
Mailing Address96 Wisteria RdGoose Creek, SC 29445-3495 · (843) 797-7871
Phone(843) 719-3000
Organization SubpartNo
Authorized OfficialJerome TilghmanDirector · (843) 719-3001
Enumeration DateAugust 31, 2020
NPPES CertifiedAugust 26, 2020
✔ NPI 1881207652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
306 AIRPORT DR, Moncks Corner, SC 29461
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Secondary Practice Location 1

Location 196 Wisteria RdGoose Creek, SC 29445-3495 · Phone (843) 797-7871

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 20

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

DEIDRE HAYDEN LMSW
Social Worker
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (843) 719-3000
DANA BROOKE MANDEL MA, LPC-I, CACP
Counselor (Addiction (Substance Use Disorder))
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (843) 719-3000
MRS. SUZANNE MORRIS BLAKELEY FNP
Nurse Practitioner (Family)
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (843) 761-8272
JEREMY BLAKE ALSBROOK
Counselor (Addiction (Substance Use Disorder))
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (843) 761-8272
MR. WILLIAM BRENT REECE LPC
Counselor
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (843) 719-3000
ANACORITA ELLISOR FNP
Nurse Practitioner (Family)
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (304) 429-1088
MISS BRITTANY DANIELLE MCLAURIN CPSS
Peer Specialist
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (843) 719-3051
OHIO VALLEY PHYSICIANS, INC
Family Medicine
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (304) 429-1088

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 Earnest E Kennedy Center's NPI number?

The NPI number for Earnest E Kennedy Center is 1881207652. It was assigned to this organization in the NPPES registry on August 31, 2020.

Where is Earnest E Kennedy Center located?

Earnest E Kennedy Center is located at 306 Airport Dr, Moncks Corner, SC 29461. The listed phone number is (843) 719-3000.

What is Earnest E Kennedy Center's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Earnest E Kennedy Center was last updated on August 31, 2020. 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.