| Iris Johnson, | |
|
2711 Colonial Dr, Columbia, SC 29203-6818 | |
| (803) 726-9300 | |
| Not Available |
| Full Name | Iris Johnson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2711 Colonial Dr, Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336531771 | NPI | - | NPPES |
| Entity Name | Lexington Richland Alcohol & Drug Abuse Council, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538153069 PECOS PAC ID: 3577643170 Enrollment ID: O20171211002777 |
| Mailing Address | Practice Location Address |
|---|---|
| Iris Johnson, 2711 Colonial Drive, Lradac, Columbia, SC 29203 Ph: () - | Iris Johnson, 2711 Colonial Dr, Columbia, SC 29203-6818 Ph: (803) 726-9300 |
Dr. Larry Barker, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Cardiff St, Columbia, SC 29209 Phone: 803-447-5585 | |
Mr. Carlton A Andrews Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 River Dr, Columbia, SC 29201 Phone: 803-446-4905 Fax: 803-771-6685 | |
Brenda Brooks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3809 Rosewood Dr, Columbia, SC 29205 Phone: 803-786-1844 | |
Y'ticcia Y Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2715 Colonial Dr, Columbia, SC 29203 Phone: 803-898-4777 | |
Ashley Chapman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 Colonial Dr, Columbia, SC 29203 Phone: 803-726-9376 Fax: 803-726-9485 | |
Nijoku Odom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 Colonial Dr, Columbia, SC 29203 Phone: 803-726-9351 | |
Timothy Goode, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 Village Walk, Columbia, SC 29209 Phone: 417-343-9846 |