PALMETTO COMMUNITY GROUP LLC NPI 1508385469

NPI Information

NPI: 1508385469
Provider Name: PALMETTO COMMUNITY GROUP, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 42D2241298

Address:
22 OFFICE PARK CT STE F
COLUMBIA, SC
ZIP 29223
Phone: (803) 636-7951
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PALMETTO COMMUNITY GROUP, LLC is a mental health counselor in Columbia, SC. PALMETTO COMMUNITY GROUP, LLC NPI is 1508385469. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

22 OFFICE PARK CT STE F
COLUMBIA, SC
ZIP 29223-965
Phone: (803) 636-7951

The provider's authorized official is Natasha R Branon .
The authorized official title is Owner and has the following contact phone number (803) 636-7951.

The CLIA number assigned to this NPI record is 42D2241298 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2017 and was last updated on 2/21/2023.

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	101YP2500X	Counselor	Professional	4993	SOUTH CAROLINA	No
2	251S00000X	Community/Behavioral Health				No
3	252Y00000X	Early Intervention Provider Agency				No
4	101YM0800X	Counselor	Mental Health			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: 4/28/2024

NPI Synchronization or Removal

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