Piedmont Psychological & Counseling Associates, Llc | |
1665 Herlong Court Suite B Rock Hill SC 29732-1193 | |
(803) 328-0030 | |
(803) 328-0030 |
Full Name | Piedmont Psychological & Counseling Associates, Llc |
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Speciality | Psychologist |
Location | 1665 Herlong Court, Rock Hill, South Carolina |
Authorized Official Name and Position | William H. Wells. (PRESIDENT) |
Authorized Official Contact | 8033280030 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Piedmont Psychological & Counseling Associates, Llc Po Box 37567 Rock Hill SC 29732-0526 Ph: (803) 328-0030 | Piedmont Psychological & Counseling Associates, Llc 1665 Herlong Court Suite B Rock Hill SC 29732-1193 Ph: (803) 328-0030 |
NPI Number | 1760561229 |
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Provider Enumeration Date | 11/03/2006 |
Last Update Date | 03/20/2008 |
Medicare PECOS PAC ID | 9032179429 |
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Medicare Enrollment ID | O20041011000457 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760561229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | 235 (South Carolina) | Primary |
Provider Name | William H Wells |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1346410446 PECOS PAC ID: 6901073154 Enrollment ID: I20120301000910 |
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