| Ms Colleen Diane Goff, LPC | |
|
442 Professional Park Rd, Clinton, SC 29325-7626 | |
| (864) 938-0912 | |
| Not Available |
| Full Name | Ms Colleen Diane Goff |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 28 Years |
| Location | 442 Professional Park Rd, Clinton, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518069483 | NPI | - | NPPES |
| 421504 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 4637 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mental Health Specialty Group Pa | 8921466228 | 726 |
| Entity Name | Mental Health Specialty Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240926003314 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Colleen Diane Goff, LPC 1547 Parkway, Suite 100, Greenwood, SC 29646-4081 Ph: (864) 229-7120 | Ms Colleen Diane Goff, LPC 442 Professional Park Rd, Clinton, SC 29325-7626 Ph: (864) 938-0912 |
Mrs. Deanna Kay Yeldell, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 442 Professional Park Rd, Clinton, SC 29325 Phone: 864-938-0912 Fax: 864-938-0926 |
Heather Stone, BS, ADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 219 Human Services Rd, Clinton, SC 29325 Phone: 864-833-6500 Fax: 864-547-1901 |
Ms. Theresa Maxwell Orcutt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 442 Professional Park Rd, Clinton, SC 29325 Phone: 864-938-0912 |
Ms. Mary Frances Thompson, M. DIV. Counselor Medicare: Not Enrolled in Medicare Practice Location: 442 Professional Park Rd, Clinton, SC 29325 Phone: 864-938-0912 Fax: 864-938-0926 |
Terrence Wyatt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 219 Human Services Rd, Clinton, SC 29325 Phone: 864-833-6500 |
Tracie N Scarborough, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 703 Calvert Ave, Clinton, SC 29325 Phone: 864-923-0775 |
Isaac Lipe, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 S Broad St, Clinton, SC 29325 Phone: 864-938-2100 |