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PALMETTO DYNAMICS NPI 1972739258


NPI Information

NPI: 1972739258
Provider Name: PALMETTO DYNAMICS
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4112 HARTFORD ST
COLUMBIA, SC
ZIP 29204
Phone: (803) 234-2216
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PALMETTO DYNAMICS 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 DYNAMICS NPI is 1972739258. The provider is registered as an organization entity type.

The provider's business location address is:

4112 HARTFORD ST
COLUMBIA, SC
ZIP 29204-025
Phone: (803) 234-2216
Fax: (866) 263-6551

The provider's authorized official is James Kelvin Johnson .
The authorized official title is Administrator and has the following contact phone number (803) 234-2216.

The enumeration date for this NPI number is 6/1/2009 and was last updated on 6/1/2009.


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 HealthYes

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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