| Center For Behavioral Health Llc | |
|
182 Laurelhurst Ave Columbia SC 29210-3824 | |
| (803) 551-0060 | |
| (803) 551-0062 |
| Full Name | Center For Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 182 Laurelhurst Ave, Columbia, South Carolina |
| Authorized Official Name and Position | Anil K Juneja (PRESIDENT) |
| Authorized Official Contact | 8035510060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Behavioral Health Llc 182 Laurelhurst Ave Columbia SC 29210-3824 Ph: (803) 551-0060 | Center For Behavioral Health Llc 182 Laurelhurst Ave Columbia SC 29210-3824 Ph: (803) 551-0060 |
| NPI Number | 1841412061 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 01/25/2017 |
| Medicare PECOS PAC ID | 8224310461 |
|---|---|
| Medicare Enrollment ID | O20170123001894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841412061 | NPI | - | NPPES |
| 154371 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0015X | Psychiatry & Neurology - Psychosomatic Medicine | 154371 (South Carolina) | Primary |
| Provider Name | Anil K Juneja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851463566 PECOS PAC ID: 8022096411 Enrollment ID: I20040712001029 |
| Provider Name | Katherine C Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629537055 PECOS PAC ID: 2860726262 Enrollment ID: I20190618002788 |
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