Lrc For Substance Abuse & Behavioral Probs. | |
1105 Belleview St. Columbia SC 29202 | |
(803) 740-9298 | |
(803) 223-9420 |
Full Name | Lrc For Substance Abuse & Behavioral Probs. |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1105 Belleview St., Columbia, South Carolina |
Authorized Official Name and Position | Henry P. Mcfadden (OWNER) |
Authorized Official Contact | 8037409298 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lrc For Substance Abuse & Behavioral Probs. Po Box 8724 1105 Belleview St. Columbia SC 29202 Ph: (803) 740-9298 | Lrc For Substance Abuse & Behavioral Probs. 1105 Belleview St. Columbia SC 29202 Ph: (803) 740-9298 |
NPI Number | 1316274228 |
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Provider Enumeration Date | 11/13/2009 |
Last Update Date | 11/13/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316274228 | NPI | - | NPPES |
7000128742 | Other | SC | QPL# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | OPT-0097 (South Carolina) | Primary |
101YM0800X | Counselor - Mental Health | OPT-0097 (South Carolina) | Secondary |
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