| Wilton L Hellams Phd | |
|
9308 Two Notch Rd Ste C Columbia SC 29223-6401 | |
| (803) 699-1822 | |
| (803) 699-1738 |
| Full Name | Wilton L Hellams Phd |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9308 Two Notch Rd Ste C, Columbia, South Carolina |
| Authorized Official Name and Position | Wilton Lloyd Hellams (ADMINISTRATOR) |
| Authorized Official Contact | 8036991822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilton L Hellams Phd 1 Chukker Hill Ct Columbia SC 29223-8130 Ph: (803) 699-1822 | Wilton L Hellams Phd 9308 Two Notch Rd Ste C Columbia SC 29223-6401 Ph: (803) 699-1822 |
| NPI Number | 1265644231 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265644231 | NPI | - | NPPES |
| WP9989 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 877 (South Carolina) | Primary |
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