| Columbia Counseling Center/columbia Behavioral Medicine, P.a. | |
|
900 Saint Andrews Rd Columbia SC 29210-5816 | |
| (803) 731-4708 | |
| (803) 612-1206 |
| Full Name | Columbia Counseling Center/columbia Behavioral Medicine, P.a. |
|---|---|
| Speciality | Counselor |
| Location | 900 Saint Andrews Rd, Columbia, South Carolina |
| Authorized Official Name and Position | Darrel Gene Shaver (PRESIDENT) |
| Authorized Official Contact | 8037314708 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Counseling Center/columbia Behavioral Medicine, P.a. 900 Saint Andrews Rd Columbia SC 29210-5816 Ph: (803) 731-4708 | Columbia Counseling Center/columbia Behavioral Medicine, P.a. 900 Saint Andrews Rd Columbia SC 29210-5816 Ph: (803) 731-4708 |
| NPI Number | 1073560264 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Medicare PECOS PAC ID | 4880632496 |
|---|---|
| Medicare Enrollment ID | O20050422000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073560264 | NPI | - | NPPES |
| Provider Name | Henry M Timms |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528143658 PECOS PAC ID: 2062680432 Enrollment ID: I20110801000029 |
| Provider Name | Michelle Beatty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629760236 PECOS PAC ID: 8527428085 Enrollment ID: I20230714002496 |
| Provider Name | Heather L Bedford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699329292 PECOS PAC ID: 0840642559 Enrollment ID: I20240118001732 |
| Provider Name | Darrel Shaver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598706798 PECOS PAC ID: 0143268755 Enrollment ID: I20240206003808 |
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