| Jade Bloom Psychoeducational Services Llc | |
|
1 Windsor Cv Ste 105 Columbia SC 29223-1833 | |
| (803) 766-6766 | |
| Not Available |
| Full Name | Jade Bloom Psychoeducational Services Llc |
|---|---|
| Speciality | Psychologist - School |
| Location | 1 Windsor Cv Ste 105, Columbia, South Carolina |
| Authorized Official Name and Position | Daphane Grace Rivers (SCHOOL PSYCHOLOGIST/LPES) |
| Authorized Official Contact | 6784926073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jade Bloom Psychoeducational Services Llc 388 Longfellows Ln Elgin SC 29045-7126 Ph: (803) 766-6766 | Jade Bloom Psychoeducational Services Llc 1 Windsor Cv Ste 105 Columbia SC 29223-1833 Ph: (803) 766-6766 |
| NPI Number | 1174478721 |
|---|---|
| Provider Enumeration Date | 02/27/2026 |
| Last Update Date | 02/27/2026 |
| Certification Date | 02/27/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174478721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | (* (Not Available)) | Primary |
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