| Golden Shields Therapeutic & Community Services Llc | |
|
2625 Rutledge St Columbia SC 29204-2520 | |
| (803) 834-5033 | |
| Not Available |
| Full Name | Golden Shields Therapeutic & Community Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2625 Rutledge St, Columbia, South Carolina |
| Authorized Official Name and Position | Johnnie C Hardy (CEO) |
| Authorized Official Contact | 8038345033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Shields Therapeutic & Community Services Llc 2625 Rutledge St Columbia SC 29204-2520 Ph: (803) 834-5033 | Golden Shields Therapeutic & Community Services Llc 2625 Rutledge St Columbia SC 29204-2520 Ph: (803) 834-5033 |
| NPI Number | 1902525041 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 03/25/2023 |
| Certification Date | 03/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902525041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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