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PALMETTO FAMILY SERVICE CENTER LLC NPI 1871986158


NPI Information

NPI: 1871986158
Provider Name: PALMETTO FAMILY SERVICE CENTER, LLC

Other Name: PALSS, INC.

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2638 TWO NOTCH RD STE 108
COLUMBIA, SC
ZIP 29204
Phone: (803) 779-7257
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PALMETTO FAMILY SERVICE CENTER, LLC is a community behavioral health in Columbia, SC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PALMETTO FAMILY SERVICE CENTER, LLC NPI is 1871986158. The provider is registered as an organization entity type.
The provider Other Name Is Palss, Inc..

The provider's business location address is:

2638 TWO NOTCH RD STE 108
COLUMBIA, SC
ZIP 29204-454
Phone: (803) 779-7257
Fax: (803) 779-5285

The provider's authorized official is Carmen Hampton Julious .
The authorized official title is Ceo and has the following contact phone number (803) 779-7257.

The enumeration date for this NPI number is 3/11/2015 and was last updated on 3/11/2015.


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
1251S00000XCommunity/Behavioral HealthSOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1EX0210MEDICAIDSOUTH CAROLINA

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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