| South Carolina Dept Of Mental Health Accounting Office | |
|
1547 Parkway Greenwood SC 29646-4081 | |
| (642) 238-3318 | |
| (864) 223-3706 |
| Full Name | South Carolina Dept Of Mental Health Accounting Office |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1547 Parkway, Greenwood, South Carolina |
| Authorized Official Name and Position | Tina Cogdill (QA ADM ASSIST) |
| Authorized Official Contact | 8642297120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Carolina Dept Of Mental Health Accounting Office 1547 Parkway Greenwood SC 29646-4081 Ph: (864) 229-7120 | South Carolina Dept Of Mental Health Accounting Office 1547 Parkway Greenwood SC 29646-4081 Ph: (642) 238-3318 |
| NPI Number | 1124135009 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124135009 | NPI | - | NPPES |
| 421504 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Self Regional Healthcare Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4252 Fax: 864-725-5789 | |
Anchor Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112b Bypass 225, Greenwood, SC 29646 Phone: 864-936-6910 | |
Rise Therapy Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1611 Woodlawn Rd, Greenwood, SC 29649 Phone: 864-214-5374 | |
Self Medical Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1033 Edgefield St, Greenwood, SC 29646 Phone: 864-227-3908 Fax: 864-227-2668 | |
Self Medical Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4398 | |
Sudie M Clem Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 112 Bypass 225, Greenwood, SC 29646 Phone: 864-344-3484 Fax: 864-977-3480 |