| Norheast Columbia Psychotherapy Practice, Inc | |
|
9 Poachers Lane Columbia SC 29223-3014 | |
| (803) 736-7133 | |
| Not Available |
| Full Name | Norheast Columbia Psychotherapy Practice, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9 Poachers Lane, Columbia, South Carolina |
| Authorized Official Name and Position | Beth Troy Maris (THERAPIST/PRESIDENT) |
| Authorized Official Contact | 8037367133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norheast Columbia Psychotherapy Practice, Inc 9 Poachers Lane Columbia SC 29223-3014 Ph: (803) 736-7133 | Norheast Columbia Psychotherapy Practice, Inc 9 Poachers Lane Columbia SC 29223-3014 Ph: (803) 736-7133 |
| NPI Number | 1255390001 |
|---|---|
| Provider Enumeration Date | 03/21/2006 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255390001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LISW-CP 134 (South Carolina) | Primary |
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