| Transitioning North | |
|
1917 Mitchell St Columbia SC 29205-4301 | |
| (202) 415-9085 | |
| Not Available |
| Full Name | Transitioning North |
|---|---|
| Speciality | Counselor |
| Location | 1917 Mitchell St, Columbia, South Carolina |
| Authorized Official Name and Position | Shambricka Denise North (OWNER) |
| Authorized Official Contact | 2024159085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitioning North 1917 Mitchell St Columbia SC 29205-4301 Ph: (202) 415-9085 | Transitioning North 1917 Mitchell St Columbia SC 29205-4301 Ph: (202) 415-9085 |
| NPI Number | 1285307546 |
|---|---|
| Provider Enumeration Date | 07/31/2021 |
| Last Update Date | 07/31/2021 |
| Certification Date | 07/31/2021 |
| Medicare PECOS PAC ID | 4789073701 |
|---|---|
| Medicare Enrollment ID | O20211112002161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285307546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| Provider Name | Shambricka D North |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225573181 PECOS PAC ID: 9032508056 Enrollment ID: I20211112002308 |
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