MIDLANDS COUNSELING & CONSULTING CENTER LLC NPI 1659529717

NPI Information

NPI: 1659529717
Provider Name: MIDLANDS COUNSELING & CONSULTING CENTER , LLC
Classification: Psychologist - 103TM1800X
Entity Type: Organization

Specialization: Intellectual and Developmental Disabilities

Address:
2611 FOREST DR STE 114A
COLUMBIA, SC
ZIP 29204
Phone: (803) 799-0144
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MIDLANDS COUNSELING & CONSULTING CENTER , LLC is an intellectual and developmental disabilities in Columbia, SC. MIDLANDS COUNSELING & CONSULTING CENTER , LLC NPI is 1659529717. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2611 FOREST DR STE 114A
COLUMBIA, SC
ZIP 29204-372
Phone: (803) 799-0144
Fax: (803) 799-1136

The provider's authorized official is Jerome Prezzy .
The authorized official title is Director Of Operations and has the following contact phone number (803) 799-0144.

The enumeration date for this NPI number is 9/3/2008 and was last updated on 9/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	WP9902	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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