| Premier Counseling | |
|
4711 Forest Dr Ste 3 Columbia SC 29206-3125 | |
| (803) 821-8333 | |
| (864) 751-5834 |
| Full Name | Premier Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 4711 Forest Dr Ste 3, Columbia, South Carolina |
| Authorized Official Name and Position | Janay Monique Price (CEO) |
| Authorized Official Contact | 9105741191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Counseling 4711 Forest Dr Ste 3 Columbia SC 29206-3125 Ph: (803) 821-8333 | Premier Counseling 4711 Forest Dr Ste 3 Columbia SC 29206-3125 Ph: (803) 821-8333 |
| NPI Number | 1992250682 |
|---|---|
| Provider Enumeration Date | 08/23/2016 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Medicare PECOS PAC ID | 8729367370 |
|---|---|
| Medicare Enrollment ID | O20161122001726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992250682 | NPI | - | NPPES |
| Provider Name | Cassandra B Sims |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952359481 PECOS PAC ID: 9032186549 Enrollment ID: I20040914000872 |
| Provider Name | Kevin L Faulkenberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477725968 PECOS PAC ID: 6901985662 Enrollment ID: I20080506000568 |
| Provider Name | Angela M Groce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215045190 PECOS PAC ID: 4385776194 Enrollment ID: I20100714000540 |
| Provider Name | Redonia Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801094230 PECOS PAC ID: 6406972298 Enrollment ID: I20100929001168 |
| Provider Name | Laketa D Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003208729 PECOS PAC ID: 9234458555 Enrollment ID: I20150507000749 |
| Provider Name | Angela D Olsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881982544 PECOS PAC ID: 3577664853 Enrollment ID: I20150709000018 |
| Provider Name | Sheryl Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093191249 PECOS PAC ID: 4486956109 Enrollment ID: I20160112001162 |
| Provider Name | Debra A Bjork |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033429568 PECOS PAC ID: 5991009730 Enrollment ID: I20160215001945 |
| Provider Name | Janay Monique Price |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447526306 PECOS PAC ID: 2567789266 Enrollment ID: I20161122001931 |
| Provider Name | Renatta N Palmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821488099 PECOS PAC ID: 6002196987 Enrollment ID: I20161212000792 |
| Provider Name | Brittany T Dorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891247730 PECOS PAC ID: 9537440102 Enrollment ID: I20161220001567 |
| Provider Name | Syreeta Miller Dendy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043754005 PECOS PAC ID: 4880961465 Enrollment ID: I20170602000737 |
| Provider Name | Netra Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043738016 PECOS PAC ID: 1759648330 Enrollment ID: I20171207000278 |
| Provider Name | Georgia D Gibson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003932732 PECOS PAC ID: 8820350861 Enrollment ID: I20180403000050 |
| Provider Name | Gertrude E Stoney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326547431 PECOS PAC ID: 1052673001 Enrollment ID: I20180403000639 |
| Provider Name | Lekeshia Miltanette Lynch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568899706 PECOS PAC ID: 4082972666 Enrollment ID: I20180416000206 |
| Provider Name | Bernadette Y Pinkney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194728659 PECOS PAC ID: 2668616301 Enrollment ID: I20180719003321 |
| Provider Name | Ebony H Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770607327 PECOS PAC ID: 1355693433 Enrollment ID: I20181018001027 |
| Provider Name | Elizabeth A Kurth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881942829 PECOS PAC ID: 1052621596 Enrollment ID: I20190213000056 |
| Provider Name | Susan Angliker Jillson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538724885 PECOS PAC ID: 1557695996 Enrollment ID: I20190619000517 |
| Provider Name | Amber A Flanigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215443106 PECOS PAC ID: 7113359506 Enrollment ID: I20191125001010 |
| Provider Name | Akilah S Glover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093077273 PECOS PAC ID: 5294168639 Enrollment ID: I20191126000151 |
| Provider Name | Rhonda H. Sims |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275558538 PECOS PAC ID: 3476981101 Enrollment ID: I20200312000062 |
| Provider Name | Hope A Buncum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780224667 PECOS PAC ID: 7719387067 Enrollment ID: I20210609000034 |
| Provider Name | Mark Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588171557 PECOS PAC ID: 3577968387 Enrollment ID: I20210817002541 |
| Provider Name | Tonia Patrice Tash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548696008 PECOS PAC ID: 2961800362 Enrollment ID: I20211015001909 |
| Provider Name | Chelsea Nicole Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356008148 PECOS PAC ID: 5294127296 Enrollment ID: I20220125002740 |
| Provider Name | Frank David Ruse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134247232 PECOS PAC ID: 3173991437 Enrollment ID: I20221118000297 |
| Provider Name | Ashley Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114545662 PECOS PAC ID: 1153773460 Enrollment ID: I20240205004177 |
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