Provider Demographics
NPI:1861363285
Name:HJC PSYCHIATRIC SERVICES LLC
Entity type:Organization
Organization Name:HJC PSYCHIATRIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CINI
Authorized Official - Suffix:
Authorized Official - Credentials:MHNP
Authorized Official - Phone:302-383-2151
Mailing Address - Street 1:911 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-5144
Mailing Address - Country:US
Mailing Address - Phone:843-653-1502
Mailing Address - Fax:843-438-8064
Practice Address - Street 1:911 3RD AVE
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-5144
Practice Address - Country:US
Practice Address - Phone:843-653-1502
Practice Address - Fax:843-438-8064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty