| Peace Of Life | |
|
9600 Two Notch Rd Ste 5 Columbia SC 29223-1612 | |
| (803) 605-4019 | |
| (803) 573-2179 |
| Full Name | Peace Of Life |
|---|---|
| Speciality | Clinic/Center |
| Location | 9600 Two Notch Rd Ste 5, Columbia, South Carolina |
| Authorized Official Name and Position | Teresa Quattlebaum Harris (LPC) |
| Authorized Official Contact | 8036652039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Of Life 9600 Two Notch Rd Ste 5 Columbia SC 29223-1612 Ph: (803) 605-4019 | Peace Of Life 9600 Two Notch Rd Ste 5 Columbia SC 29223-1612 Ph: (803) 605-4019 |
| NPI Number | 1871277202 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Medicare PECOS PAC ID | 6901243625 |
|---|---|
| Medicare Enrollment ID | O20240318001252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871277202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Teresa Q Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750988804 PECOS PAC ID: 8628489606 Enrollment ID: I20240318001394 |
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