| Holistic Psychological Associates, Llc | |
|
9570 Two Notch Rd Ste 9 Columbia SC 29223-4308 | |
| (678) 793-1383 | |
| Not Available |
| Full Name | Holistic Psychological Associates, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9570 Two Notch Rd, Columbia, South Carolina |
| Authorized Official Name and Position | Ameera Ali (BILLING MANAGER) |
| Authorized Official Contact | 6787931383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Psychological Associates, Llc Po Box 291558 Columbia SC 29229-0026 Ph: (803) 736-8001 | Holistic Psychological Associates, Llc 9570 Two Notch Rd Ste 9 Columbia SC 29223-4308 Ph: (678) 793-1383 |
| NPI Number | 1871044990 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 10/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871044990 | NPI | - | NPPES |
| 30180161 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5508 (South Carolina) | Primary |
| 101YP2500X | Counselor - Professional | 6121 (South Carolina) | Secondary |
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