| Palmetto Therapist Llc | |
|
7436 Forest Ct Ste 102 Irmo SC 29063-2856 | |
| (803) 318-7272 | |
| (803) 318-7272 |
| Full Name | Palmetto Therapist Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7436 Forest Ct Ste 102, Irmo, South Carolina |
| Authorized Official Name and Position | Ervin Beasley (OWNER) |
| Authorized Official Contact | 8033187272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Therapist Llc 244 Midway Rd Lexington SC 29072-9303 Ph: (803) 318-7272 | Palmetto Therapist Llc 7436 Forest Ct Ste 102 Irmo SC 29063-2856 Ph: (803) 318-7272 |
| NPI Number | 1356997746 |
|---|---|
| Provider Enumeration Date | 08/13/2019 |
| Last Update Date | 04/15/2025 |
| Certification Date | 04/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356997746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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