| Palmetto Psych Services Llc | |
|
9330 Medical Plaza Dr Charleston SC 29406-9104 | |
| (706) 831-4837 | |
| Not Available |
| Full Name | Palmetto Psych Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 9330 Medical Plaza Dr, Charleston, South Carolina |
| Authorized Official Name and Position | Hetalbabu Thakore (SOLE MEMBER) |
| Authorized Official Contact | 7062677681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Psych Services Llc 222 W Ontario St Ste 315 Chicago IL 60654-3652 Ph: () - | Palmetto Psych Services Llc 9330 Medical Plaza Dr Charleston SC 29406-9104 Ph: (706) 831-4837 |
| NPI Number | 1427650050 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 11/09/2020 |
| Certification Date | 11/09/2020 |
| Medicare PECOS PAC ID | 0143634972 |
|---|---|
| Medicare Enrollment ID | O20220929003557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427650050 | NPI | - | NPPES |
| Provider Name | Stacey Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134459548 PECOS PAC ID: 1254664121 Enrollment ID: I20221004000462 |
| Provider Name | Matthew Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316149792 PECOS PAC ID: 2062504962 Enrollment ID: I20230501002150 |
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