| Colacalm Llc | |
|
1332 Main St Ste 203205 Columbia SC 29201-6201 | |
| (803) 427-5120 | |
| Not Available |
| Full Name | Colacalm Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1332 Main St Ste 203205, Columbia, South Carolina |
| Authorized Official Name and Position | Elizabeth Carol Willits (OWNER/OPERATOR) |
| Authorized Official Contact | 8034275120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colacalm Llc 1332 Main St Ste 203205 Columbia SC 29201-6201 Ph: () - | Colacalm Llc 1332 Main St Ste 203205 Columbia SC 29201-6201 Ph: (803) 427-5120 |
| NPI Number | 1427678051 |
|---|---|
| Provider Enumeration Date | 04/23/2020 |
| Last Update Date | 04/23/2020 |
| Certification Date | 04/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427678051 | NPI | - | NPPES |
| 1740637107 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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