| Palmetto Psych Services Llc | |
|
9330 Medical Plaza Dr Charleston SC 29406-9104 | |
| (706) 831-4837 | |
| Not Available |
| Full Name | Palmetto Psych Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 9330 Medical Plaza Dr, Charleston, South Carolina |
| Authorized Official Name and Position | Hetalbabu Thakore (SOLE MEMBER) |
| Authorized Official Contact | 2039012493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Psych Services Llc 222 W Ontario St Ste 315 Chicago IL 60654-3652 Ph: () - | Palmetto Psych Services Llc 9330 Medical Plaza Dr Charleston SC 29406-9104 Ph: (706) 831-4837 |
| NPI Number | 1427650050 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 02/21/2025 |
| Certification Date | 02/21/2025 |
| Medicare PECOS PAC ID | 0143634972 |
|---|---|
| Medicare Enrollment ID | O20231122000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427650050 | NPI | - | NPPES |
| Provider Name | Jeremy B. Hertza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528237955 PECOS PAC ID: 2466528484 Enrollment ID: I20231122000382 |
| Provider Name | Adam Brett Warshowsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265685853 PECOS PAC ID: 4789746728 Enrollment ID: I20240305000401 |
| Provider Name | Lance Evans |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235179078 PECOS PAC ID: 2365454907 Enrollment ID: I20240807003588 |
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