| Community Central Cares Llc | |
|
5801 N Main St Ste D Columbia SC 29203-6224 | |
| (980) 286-7950 | |
| Not Available |
| Full Name | Community Central Cares Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5801 N Main St Ste D, Columbia, South Carolina |
| Authorized Official Name and Position | Virginia Roslyn Humphries (OWNER) |
| Authorized Official Contact | 9802867950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Central Cares Llc 253 Monarch Creek Lane Charlotte NC 28206 Ph: (980) 286-7950 | Community Central Cares Llc 5801 N Main St Ste D Columbia SC 29203-6224 Ph: (980) 286-7950 |
| NPI Number | 1518732536 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 11/20/2023 |
| Certification Date | 11/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518732536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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