| Columbia Institute For Individual, Marriage And Family Therapy | |
|
4 Lakecrest Dr Columbia SC 29206-1371 | |
| (803) 606-1123 | |
| (803) 790-7496 |
| Full Name | Columbia Institute For Individual, Marriage And Family Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4 Lakecrest Dr, Columbia, South Carolina |
| Authorized Official Name and Position | William Paul Carlson (DIRECTOR) |
| Authorized Official Contact | 8036061123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Institute For Individual, Marriage And Family Therapy 4 Lakecrest Dr Columbia SC 29206-1371 Ph: (803) 606-1123 | Columbia Institute For Individual, Marriage And Family Therapy 4 Lakecrest Dr Columbia SC 29206-1371 Ph: (803) 606-1123 |
| NPI Number | 1750501219 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750501219 | NPI | - | NPPES |
| $$$$$$$$$ | Other | SOCIAL SECURITY NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC # 22 (South Carolina) | Primary |
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