COLONIAL FAMILY PRACTICE LLC NPI 1336810175

NPI Information

  • NPI: 1336810175
  • Provider Name: COLONIAL FAMILY PRACTICE, LLC
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Organization
  • Address: 696 BULTMAN DR.
    SUMTER, SC
    ZIP 29150
  • Phone: (803) 773-5227

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NPI Details

COLONIAL FAMILY PRACTICE, LLC is a child and adolescent psychiatry psychiatry neurology in Sumter, SC. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. COLONIAL FAMILY PRACTICE, LLC NPI is 1336810175. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

696 BULTMAN DR.
SUMTER, SC
ZIP 29150-549
Phone: (803) 773-5227

The provider's authorized official is Stephanie Knight Disher .
The authorized official title is Credentialing Manager and has the following contact phone number (803) 773-5227.

The enumeration date for this NPI number is 9/22/2021 and was last updated on 9/22/2021.

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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4101YP2500XCounselorProfessionalNo
52084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

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: 11/21/2025

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