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Table Rock Integrated Health and Wellness Practice, LLC.

Psychiatry Physician in Travelers Rest, SC · enumerated 2010 · authorized official Gergana Dimitrova, Partner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104145184

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Registry record

Entity type Organization (Type 2)
Legal business name Table Rock Integrated Health and Wellness Practice, LLC.
Practice address 5 Center St, Travelers Rest, SC, 29690
Phone (864) 908-6372
Fax (864) 898-3703
Enumeration date May 31, 2010
Last updated in NPPES Mar 16, 2020

Taxonomy & classification

101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License 1223 (SC) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 5825 (SC) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 30719 (SC) Primary
2084P0805X Geriatric Psychiatry Physician Allopathic & Osteopathic Physicians · License 30719 (SC) Secondary

Authorized official

Name Gergana Dimitrova
Title Partner
Phone (864) 908-6372

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Table Rock Integrated Health and Wellness Practice, LLC.?
Table Rock Integrated Health and Wellness Practice, LLC. is registered in NPPES as a Psychiatry Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-16.