| Jamison Consultant's, Llc | |
|
115 Blarney Dr Ste 102 Columbia SC 29223-6291 | |
| (803) 722-0490 | |
| (888) 508-9882 |
| Full Name | Jamison Consultant's, Llc |
|---|---|
| Speciality | Counselor |
| Location | 115 Blarney Dr Ste 102, Columbia, South Carolina |
| Authorized Official Name and Position | Stephanie R Jamison (CEO) |
| Authorized Official Contact | 8037220490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamison Consultant's, Llc 115 Blarney Dr Ste 102 Columbia SC 29223-6291 Ph: (803) 722-0490 | Jamison Consultant's, Llc 115 Blarney Dr Ste 102 Columbia SC 29223-6291 Ph: (803) 722-0490 |
| NPI Number | 1255648028 |
|---|---|
| Provider Enumeration Date | 09/01/2010 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Medicare PECOS PAC ID | 3971741380 |
|---|---|
| Medicare Enrollment ID | O20130524000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255648028 | NPI | - | NPPES |
| CM1011 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| Provider Name | Edward James Mcneil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073517595 PECOS PAC ID: 2062313281 Enrollment ID: I20060314000107 |
| Provider Name | Ashlie Gavant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851948459 PECOS PAC ID: 7214269265 Enrollment ID: I20191024002252 |
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