| Midlands Counseling & Consulting Center , Llc | |
|
2611 Forest Dr Ste 114a Columbia SC 29204-2372 | |
| (803) 799-0144 | |
| (803) 799-1136 |
| Full Name | Midlands Counseling & Consulting Center , Llc |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 2611 Forest Dr Ste 114a, Columbia, South Carolina |
| Authorized Official Name and Position | Jerome Prezzy (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8037990144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midlands Counseling & Consulting Center , Llc 2611 Forest Dr Ste 114a Columbia SC 29204-2372 Ph: (803) 799-0144 | Midlands Counseling & Consulting Center , Llc 2611 Forest Dr Ste 114a Columbia SC 29204-2372 Ph: (803) 799-0144 |
| NPI Number | 1659529717 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 09/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659529717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | WP9902 (South Carolina) | Primary |
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