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COLUMBIA AREA MENTAL HEALTH NPI 1972863496


NPI Information

NPI: 1972863496
Provider Name: COLUMBIA AREA MENTAL HEALTH

Other Name: CARTER J STREET

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1135 CARTER ST
COLUMBIA, SC
ZIP 29204
Phone: (806) 786-1183
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COLUMBIA AREA MENTAL HEALTH is a community based residential treatment facility mental illness in Columbia, SC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. COLUMBIA AREA MENTAL HEALTH NPI is 1972863496. The provider is registered as an organization entity type.
The provider Other Name Is Carter J Street.

The provider's business location address is:

1135 CARTER ST
COLUMBIA, SC
ZIP 29204-811
Phone: (806) 786-1183
Fax: (803) 754-6051

The provider's authorized official is Sivi Burns Daniels .
The authorized official title is Lpn and has the following contact phone number (803) 419-1526.

The enumeration date for this NPI number is 5/17/2012 and was last updated on 5/25/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessPR 38235SOUTH CAROLINAYes

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: 4/28/2024

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