| Charis Psychiatry, Llc | |
|
1415 Blanding St Ste 4 Columbia SC 29201-2922 | |
| (803) 779-7500 | |
| Not Available |
| Full Name | Charis Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1415 Blanding St Ste 4, Columbia, South Carolina |
| Authorized Official Name and Position | Isabella Adjinah (OWNER) |
| Authorized Official Contact | 8037797500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charis Psychiatry, Llc 1805 Clemson Rd Unit 290988 Columbia SC 29229-0540 Ph: () - | Charis Psychiatry, Llc 1415 Blanding St Ste 4 Columbia SC 29201-2922 Ph: (803) 779-7500 |
| NPI Number | 1346760931 |
|---|---|
| Provider Enumeration Date | 06/23/2017 |
| Last Update Date | 12/23/2020 |
| Certification Date | 12/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346760931 | NPI | - | NPPES |
| 1567 | Other | SC | SC LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
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