| Keion Thompson, | |
|
2277 Sunset Blvd, West Columbia, SC 29169-4713 | |
| (888) 796-1117 | |
| (803) 996-5228 |
| Full Name | Keion Thompson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 2277 Sunset Blvd, West Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912719493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 10609 (South Carolina) | Primary |
| 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 |
|---|---|
| Keion Thompson, 2277 Sunset Blvd, West Columbia, SC 29169-4713 Ph: (888) 796-1117 | Keion Thompson, 2277 Sunset Blvd, West Columbia, SC 29169-4713 Ph: (888) 796-1117 |
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 | |
Amanda Charlotte-weinland Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2490 Fish Hatchery Rd Unit G3, West Columbia, SC 29172 Phone: 916-397-7852 | |
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 | |
Devin Dotter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2277 Sunset Blvd, West Columbia, SC 29169 Phone: 888-796-1117 Fax: 803-996-5228 | |
Sharon Denice Harvin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Hospital Dr N, West Columbia, SC 29169 Phone: 803-739-8600 | |
Dana A Gates, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 749 B Ave, West Columbia, SC 29169 Phone: 803-467-4787 |