| Roots Psychological Associates, Llc | |
|
1531 Laurel St Columbia SC 29201-2622 | |
| (803) 764-1010 | |
| (803) 764-0193 |
| Full Name | Roots Psychological Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1531 Laurel St, Columbia, South Carolina |
| Authorized Official Name and Position | Patrick James Steele (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8037641010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots Psychological Associates, Llc 1531 Laurel St Columbia SC 29201-2622 Ph: (803) 764-1010 | Roots Psychological Associates, Llc 1531 Laurel St Columbia SC 29201-2622 Ph: (803) 764-1010 |
| NPI Number | 1609386838 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 06/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609386838 | NPI | - | NPPES |
| 0327 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1412 (South Carolina) | Primary |
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