| Post Trauma Resources, Llc | |
|
1709 Laurel St Columbia SC 29201-2624 | |
| (803) 765-0700 | |
| (803) 765-1607 |
| Full Name | Post Trauma Resources, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1709 Laurel St, Columbia, South Carolina |
| Authorized Official Name and Position | Jamine Leslie (PRACTICE MANAGER) |
| Authorized Official Contact | 8037650700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Post Trauma Resources, Llc 1709 Laurel St Columbia SC 29201-2624 Ph: (803) 765-0700 | Post Trauma Resources, Llc 1709 Laurel St Columbia SC 29201-2624 Ph: (803) 765-0700 |
| NPI Number | 1023130150 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 01/05/2012 |
| Medicare PECOS PAC ID | 5395985071 |
|---|---|
| Medicare Enrollment ID | O20130628000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023130150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nicholas A Lind |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790875094 PECOS PAC ID: 8527248392 Enrollment ID: I20110210000963 |
| Provider Name | Monica K. Wright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447352570 PECOS PAC ID: 8628337490 Enrollment ID: I20180124002019 |
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