MIDLANDS COUNSELING & CONSULTING CENTER , LLC


Address: 2611 Forest Dr Ste 114a, Columbia, SC 29204-2372
Phone: 8037990144

MIDLANDS COUNSELING & CONSULTING CENTER , LLC (NPI# 1659529717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659529717
Entity Type Organization
Organization Name MIDLANDS COUNSELING & CONSULTING CENTER , LLC
Practice Address 2611 Forest Dr Ste 114a
Columbia
SC 29204-2372
Practice Telephone 8037990144
Practice Fax Number 8037991136
Mailing Telephone 8037990144
Mailing Fax Number 8037991136
Enumeration Date 2008-09-03
Last Update Date 2008-09-03
Authorized Official Name MR. JEROME PREZZY (DIRECTOR OF OPERATIONS)
Authorized Official Telephone 8037990144
Authorized Official Credential MASTERS ART
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
WP9902 SC Behavioral Health & Social Service Providers

Office Location

Street Address 2611 FOREST DR STE 114A
City COLUMBIA
State SC
Zip Code 29204-2372

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235208398 Leslie Diane Bessellieu Psychologist 2611 Forest Dr Ste 114a, Columbia, SC 29204-2372 2006-11-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992215149 Ricardo Colon II Registered Nurse 3000 Hampton Street, Columbia, SC 29204 2017-10-02
1780113522 Carla Star Noe Registered Nurse Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 2017-06-06
1124568514 Kristy L Thompson Nurse Practitioner 1655 Bernardin Ave Ste 240, Columbia, SC 29204 2017-03-03
1982052031 Harold Eugene Cook Iv Podiatrist 1730 St Julian Place, Columbia, SC 29204 2016-05-31
1851748974 Shaquita Banks Counselor 1810 Allen Benedict Ct, A1, Columbia, SC 29204 2016-05-18
1265804835 Premier Care, LLC Case Management 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 2015-10-22
1023492287 Shamiquia N. Mcpherson Counselor 1627 Auburn St., Columbia, SC 29204 2015-07-16
1285028449 The Columbia Free Medical Clinic, Inc. Clinic/Center 1875 Harden Street, Columbia, SC 29204 2015-03-26
1629473459 Leslie Wilson Counselor 2323 Lady Street, Columbia, SC 29204 2014-10-22
1053728683 Candyce Sutton Social Worker 1135 Carter Street, Columbia, SC 29204 2014-07-15
Find all providers in zip 29204

Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801007984 David H. Craig Psychologist 202 Sunnymeade Dr, Columbia, TN 38401-5225 2007-05-24
1477761252 Michael R Baum Psychologist 6438 Tauler Ct, Columbia, MD 21045-4530 2007-05-18
1922196187 James Luther Ellison Psychologist 33 Beacon Hill Rd, Columbia, SC 29210-5601 2006-10-11
1538206735 Jerome Prezzy Psychologist 2611 Forest Dr, Suite 114a, Columbia, SC 29204-2379 2007-01-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003253386 Lynn Winfield Brown Jr. Psychologist 410 Poplar St, Florence, SC 29501-5126 2013-05-28
1386998821 Applied Behavioral Services Psychologist 53 Commons Ct, Pawleys Island, SC 29585-6301 2012-11-06
1447412440 Alonzo Jackson Cole IIi Psychologist 53 Commons Ct, Pawleys Island, SC 29585-6301 2008-06-30
1932369642 Rhonda Buford Psychologist 398 College Ave, Clemson, SC 29631-1432 2008-06-16
1508031006 Spectrum, Therapy, Assessment, Rehabilitation Psychologist 246 Carolinian Dr, Summerville, SC 29485-7854 2008-04-25

Competitor

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City COLUMBIA
Zip Code 29204

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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