| Dialectical Behavioral Health Services Llc | |
|
396 Saint Paul St Ste 107b Orangeburg SC 29115-5467 | |
| (803) 937-6151 | |
| (803) 937-6851 |
| Full Name | Dialectical Behavioral Health Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 396 Saint Paul St Ste 107b, Orangeburg, South Carolina |
| Authorized Official Name and Position | Patricia Ann Thompson (DIRECTOR) |
| Authorized Official Contact | 8039376151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dialectical Behavioral Health Services Llc 396 Saint Paul St Ste 107b Orangeburg SC 29115-5467 Ph: (803) 937-6151 | Dialectical Behavioral Health Services Llc 396 Saint Paul St Ste 107b Orangeburg SC 29115-5467 Ph: (803) 937-6151 |
| NPI Number | 1780329151 |
|---|---|
| Provider Enumeration Date | 05/01/2022 |
| Last Update Date | 05/01/2022 |
| Certification Date | 05/01/2022 |
| Medicare PECOS PAC ID | 7113306432 |
|---|---|
| Medicare Enrollment ID | O20220616001723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780329151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Patricia Ann Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700020443 PECOS PAC ID: 1557597572 Enrollment ID: I20220801001071 |
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