| Paragon Wellness | |
|
7 Conifer Ct Columbia SC 29229-9569 | |
| (803) 413-5586 | |
| Not Available |
| Full Name | Paragon Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 7 Conifer Ct, Columbia, South Carolina |
| Authorized Official Name and Position | Josetta Sumter-cobb (OWNER/CLINICAL DIRECTOR/THERAPIST) |
| Authorized Official Contact | 8034135586 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paragon Wellness 7 Conifer Ct Columbia SC 29229-9569 Ph: (803) 413-5586 | Paragon Wellness 7 Conifer Ct Columbia SC 29229-9569 Ph: (803) 413-5586 |
| NPI Number | 1154183499 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 06/07/2024 |
| Certification Date | 06/07/2024 |
| Medicare PECOS PAC ID | 7618419227 |
|---|---|
| Medicare Enrollment ID | O20240611002842 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154183499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Josetta Sumter Cobb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275810467 PECOS PAC ID: 9830631340 Enrollment ID: I20240611003725 |
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