| Prisma Health Behavioral Care | |
|
720 Gracern Rd Suite 120 Columbia SC 29210-7655 | |
| (803) 296-2585 | |
| (803) 551-1254 |
| Full Name | Prisma Health Behavioral Care |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 720 Gracern Rd, Columbia, South Carolina |
| Authorized Official Name and Position | Polly H Miller (SVP FINANCE, ENTERPRISE CONTRACTING) |
| Authorized Official Contact | 8645222286 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prisma Health Behavioral Care 300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 Ph: (803) 296-7305 | Prisma Health Behavioral Care 720 Gracern Rd Suite 120 Columbia SC 29210-7655 Ph: (803) 296-2585 |
| NPI Number | 1487078663 |
|---|---|
| Provider Enumeration Date | 02/10/2014 |
| Last Update Date | 11/09/2022 |
| Certification Date | 11/09/2022 |
| Medicare PECOS PAC ID | 6800708330 |
|---|---|
| Medicare Enrollment ID | O20040512000745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487078663 | NPI | - | NPPES |
| GP6416 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
| Provider Name | Alexander Joseph Mcdonald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760598114 PECOS PAC ID: 6002885183 Enrollment ID: I20070123000098 |
| Provider Name | Rebecca Payne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740379817 PECOS PAC ID: 8224130828 Enrollment ID: I20070228000619 |
| Provider Name | Jennifer E Heath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629169214 PECOS PAC ID: 1052412855 Enrollment ID: I20070724000365 |
| Provider Name | Stephanie L Berg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508809831 PECOS PAC ID: 2668477415 Enrollment ID: I20090223000222 |
| Provider Name | Juliet A Glover |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1609073014 PECOS PAC ID: 4789856105 Enrollment ID: I20111007000219 |
| Provider Name | Elizabeth Clare M Porter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205114808 PECOS PAC ID: 8820236383 Enrollment ID: I20151110001336 |
Kreative Counseling Enrichment Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2110 N Beltline Blvd, Columbia, SC 29204 Phone: 803-261-1621 | |
Counseling & Consulting Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Outlet Pointe Blvd, Columbia, SC 29210 Phone: 803-772-6540 Fax: 803-772-6540 | |
Epworth Children's Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Millwood Ave, Columbia, SC 29205 Phone: 803-212-4793 Fax: 803-212-4287 | |
Latoya Brooks-key, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4611 Hard Scrabble Rd Ste 109, Columbia, SC 29229 Phone: 917-676-6438 | |
Infinite Solutions Counseling And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Main St Ste 1980, Columbia, SC 29201 Phone: 803-319-0910 Fax: 803-403-0337 | |
Equilibrium Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Gervais St, Ste 150-258, Columbia, SC 29201 Phone: 803-361-3066 Fax: 866-834-4286 | |
The Stepping Stones Group, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1320 Main St Ste 300, Columbia, SC 29201 Phone: 803-769-8263 |