| Palmetto Behavioral Services Llc | |
|
308 S Marble St West Columbia SC 29169-7212 | |
| (803) 309-3399 | |
| (803) 888-4064 |
| Full Name | Palmetto Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 308 S Marble St, West Columbia, South Carolina |
| Authorized Official Name and Position | Melody Lucas (OWNER) |
| Authorized Official Contact | 8033093399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Behavioral Services Llc 308 S Marble St West Columbia SC 29169-7212 Ph: (803) 309-3399 | Palmetto Behavioral Services Llc 308 S Marble St West Columbia SC 29169-7212 Ph: (803) 309-3399 |
| NPI Number | 1083231062 |
|---|---|
| Provider Enumeration Date | 06/25/2020 |
| Last Update Date | 06/25/2020 |
| Certification Date | 06/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083231062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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