Provider Demographics
NPI:1871207860
Name:LOW COUNTRY BEHAVIOR & WELLNESS AGENTS
Entity type:Organization
Organization Name:LOW COUNTRY BEHAVIOR & WELLNESS AGENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-625-1637
Mailing Address - Street 1:29 ROBINSON HILL CT
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:NC
Mailing Address - Zip Code:29941
Mailing Address - Country:US
Mailing Address - Phone:914-844-0774
Mailing Address - Fax:
Practice Address - Street 1:29 ROBINSON HILL CT
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:SC
Practice Address - Zip Code:29940-2714
Practice Address - Country:US
Practice Address - Phone:914-625-1637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-13
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental DisabilitiesGroup - Multi-Specialty