| Palmetto Lowcountry Behavioral Health, Llc | |
|
2777 Speissegger Dr. Charleston SC 29405-8235 | |
| (843) 747-5830 | |
| (843) 745-5115 |
| Full Name | Palmetto Lowcountry Behavioral Health, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2777 Speissegger Dr., Charleston, South Carolina |
| Authorized Official Name and Position | Cherie Tolley (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8437475830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Lowcountry Behavioral Health, Llc 2777 Speissegger Dr. Charleston SC 29405-8235 Ph: (843) 747-5830 | Palmetto Lowcountry Behavioral Health, Llc 2777 Speissegger Dr. Charleston SC 29405-8235 Ph: (843) 747-5830 |
| NPI Number | 1598072282 |
|---|---|
| Provider Enumeration Date | 09/02/2010 |
| Last Update Date | 09/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598072282 | NPI | - | NPPES |
| A00729 | Medicaid | SC | |
| RTF021 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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