| Devin Dotter, | |
|
2277 Sunset Blvd, West Columbia, SC 29169-4713 | |
| (888) 796-1117 | |
| (803) 996-5228 |
| Full Name | Devin Dotter |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 5 Years |
| Location | 2277 Sunset Blvd, West Columbia, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194398586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 11366 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bright Side Counseling Llc | 7911331418 | 10 |
| Entity Name | Bright Side Counseling LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427595941 PECOS PAC ID: 7911331418 Enrollment ID: O20191216001568 |
| Mailing Address | Practice Location Address |
|---|---|
| Devin Dotter, 2277 Sunset Blvd, West Columbia, SC 29169-4713 Ph: (888) 796-1117 | Devin Dotter, 2277 Sunset Blvd, West Columbia, SC 29169-4713 Ph: (888) 796-1117 |
Tara Kay Maddox, CPA, EA, PTIN Counselor Medicare: Not Enrolled in Medicare Practice Location: 319 Senn St, West Columbia, SC 29169 Phone: 803-278-5747 Fax: 803-278-5747 |
John Loren Safko, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Hospital Dr N, West Columbia, SC 29169 Phone: 803-739-8600 |
Rahkiya Fields-dinkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 820 12th St, West Columbia, SC 29169 Phone: 803-316-9826 |
William Ryan Taylor, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4788 Platt Springs Rd, West Columbia, SC 29170 Phone: 803-359-8595 |
Tiffany Deanna Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 371 Lake Frances Dr, West Columbia, SC 29170 Phone: 803-429-1259 |
Mrs. Detrice Bethea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 Lott Ct, West Columbia, SC 29169 Phone: 803-719-4050 Fax: 803-719-4054 |
Sharon Denice Harvin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Hospital Dr N, West Columbia, SC 29169 Phone: 803-739-8600 |