| Prisma Health Counseling Baptist | |
|
1330 Taylor At Marion St. Columbia SC 29201 | |
| (803) 296-2548 | |
| Not Available |
| Full Name | Prisma Health Counseling Baptist |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1330 Taylor At Marion St., Columbia, South Carolina |
| Authorized Official Name and Position | Polly H Miller (VP PAYOR STRATEGIES ALIGNMENT) |
| Authorized Official Contact | 8645222286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prisma Health Counseling Baptist 300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 Ph: (803) 296-2548 | Prisma Health Counseling Baptist 1330 Taylor At Marion St. Columbia SC 29201 Ph: (803) 296-2548 |
| NPI Number | 1881617660 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 02/18/2021 |
| Certification Date | 02/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881617660 | NPI | - | NPPES |
| 400863 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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