Jamison, Stephanie R

Jamison, Stephanie R is an sole proprietor health care provider with primary practice located at 115 Blarney Dr Ste 102 , Columbia SC 29223-6291. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Other Service Providers / Case Manager/Care Coordinator, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Jamison, Stephanie R can be contacted via phone (803) 722-0490.

Contact Information

Primary practice address
115 Blarney Dr Ste 102 Columbia SC 29223-6291
Phone: (803) 722-0490
Fax: (843) 962-5803
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X South Carolina

Profile Details

NPI number 1053624262
LBN Legal business name Jamison, Stephanie R
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2010
Last updated Jun 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053624262 NPPES
South Carolina MEDICAID GPB5769
South Carolina MEDICAID GPB228
South Carolina MEDICAID GPB154

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