| Palmetto Behavioral Health Solutions, Llc | |
|
2777 Speissegger Dr Charleston SC 29405-8229 | |
| (843) 266-7096 | |
| Not Available |
| Full Name | Palmetto Behavioral Health Solutions, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2777 Speissegger Dr, Charleston, South Carolina |
| Authorized Official Name and Position | Steve Filton (VICE PRESIDENT) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Behavioral Health Solutions, Llc 2777 Speissegger Dr Charleston SC 29405-8229 Ph: (843) 266-7096 | Palmetto Behavioral Health Solutions, Llc 2777 Speissegger Dr Charleston SC 29405-8229 Ph: (843) 266-7096 |
| NPI Number | 1104885516 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 03/05/2020 |
| Certification Date | 03/05/2020 |
| Medicare PECOS PAC ID | 4688674807 |
|---|---|
| Medicare Enrollment ID | O20070111000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104885516 | NPI | - | NPPES |
| 2986 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (South Carolina) | Primary |
| Provider Name | Steven Gerald Lopez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356459218 PECOS PAC ID: 8820099658 Enrollment ID: I20070123000070 |
| Provider Name | Lydia W Haren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588766844 PECOS PAC ID: 8022054311 Enrollment ID: I20070123000104 |
| Provider Name | Amanda E Horrigan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891933040 PECOS PAC ID: 5799818324 Enrollment ID: I20120918000037 |
| Provider Name | Elizabeth C Grueneberger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457588089 PECOS PAC ID: 5395976302 Enrollment ID: I20140314001328 |
| Provider Name | Honora M Sandifer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659368280 PECOS PAC ID: 4486609310 Enrollment ID: I20150112000590 |
| Provider Name | Barbara J Womble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285731471 PECOS PAC ID: 2769445022 Enrollment ID: I20150311002622 |
| Provider Name | Steven Sinderman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508810623 PECOS PAC ID: 2264476886 Enrollment ID: I20171013002551 |
| Provider Name | Steven B Holley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225762933 PECOS PAC ID: 2062888985 Enrollment ID: I20221018002866 |
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