CHARLIES ANGELS COMMUNITY SERVICES
NPI 1881466357
Community/Behavioral Health in Little River, SC

Active since October 26, 2023
501 HIGHWAY 90 E, LITTLE RIVER, SC 29566(704) 918-7966 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About CHARLIES ANGELS COMMUNITY SERVICES

This page provides the complete NPI Profile along with additional information for Charlies Angels Community Services, a provider established in Little River, South Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1881466357 assigned on October 2023. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Charlies Angels Community Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Carlita Randall (Executive Director)

NPI
1881466357 Verify this NPI
Provider Name
CHARLIES ANGELS COMMUNITY SERVICES
Entity Type
Organization
Location Address
501 HIGHWAY 90 E LITTLE RIVER, SC 29566
Location Phone
(704) 918-7966
Mailing Address
1214 BOTTLE BRUSH LN HARRISBURG, NC 28075
Mailing Phone
(412) 977-1273
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-26-2023
Last Update Date
04-15-2025
Code Navigator

Location Map

Secondary Locations

  • 1214 Bottle Brush Ln
    Harrisburg, NC 28075
    (412) 977-1273

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Rehabilitation Counselor

 
2261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
3261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
4261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CARLITA RANDALL

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(412) 977-1273

Reviews for CHARLIES ANGELS COMMUNITY SERVICES

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Mental Health)
501 HIGHWAY 90 E
LITTLE RIVER, SC 29566

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881466357, enumerated as an "organization" on October 26, 2023.

The provider is located at 501 HIGHWAY 90 E LITTLE RIVER, SC 29566 and the phone number is (704) 918-7966.

Community/Behavioral Health with taxonomy code 251S00000X.