Midlands Neurobehavioral Services, Llc | |
160 Medical Cir Ste E West Columbia SC 29169-3639 | |
(803) 708-9638 | |
(888) 352-7678 |
Full Name | Midlands Neurobehavioral Services, Llc |
---|---|
Speciality | Clinical Neuropsychologist |
Location | 160 Medical Cir Ste E, West Columbia, South Carolina |
Authorized Official Name and Position | Shawna Blake Kirby (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 8037089638 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Midlands Neurobehavioral Services, Llc 160 Medical Cir Ste E West Columbia SC 29169-3639 Ph: (803) 708-9638 | Midlands Neurobehavioral Services, Llc 160 Medical Cir Ste E West Columbia SC 29169-3639 Ph: (803) 708-9638 |
NPI Number | 1447709431 |
---|---|
Provider Enumeration Date | 10/02/2016 |
Last Update Date | 05/03/2019 |
Medicare PECOS PAC ID | 6901173228 |
---|---|
Medicare Enrollment ID | O20170517000279 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447709431 | NPI | - | NPPES |
PS0613 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 1251 (South Carolina) | Primary |
103T00000X | Psychologist | 1251 (South Carolina) | Secondary |
Provider Name | Shawna Kirby |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1174686356 PECOS PAC ID: 7719254036 Enrollment ID: I20170517000533 |
Greg Robinson, Ma Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2999 Sunset Blvd Ste 100, West Columbia, SC 29169 Phone: 803-939-9699 Fax: 803-939-9086 | |
Meditelecare Of South Carolina Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 Meeting St, West Columbia, SC 29169 Phone: 860-788-6404 | |
Three Rivers Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Sunset Blvd, West Columbia, SC 29169 Phone: 803-796-9911 | |
Palmetto Behavioral Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 S Marble St, West Columbia, SC 29169 Phone: 803-309-3399 Fax: 803-888-4064 | |
Choices Counseling And Advocacy Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3969 Southeastern Way, West Columbia, SC 29169 Phone: 803-851-4049 | |
Macon Changes Professional Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Inview Rd, West Columbia, SC 29169 Phone: 803-223-9010 | |
Goldenrod Logistics Monitoring Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1304 Sunset Blvd # 203, West Columbia, SC 29169 Phone: 866-374-6628 Fax: 866-951-1120 |