Palmetto Center For Change, Llc
LBN: Palmetto Center For Change, Llc
Palmetto Center For Change, Llc is an health care organization with primary practice located at 1905 Sunset Blvd Ste C , West Columbia SC 29169-5955. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Palmetto Center For Change, Llc can be contacted via phone (803) 851-0902, or through Anderson, Carol E. O. via phone (803) 851-0902.
Contact Information
Primary practice address
1905 Sunset Blvd Ste C
West Columbia SC 29169-5955
Phone: (803) 851-0902
Fax: (803) 851-7192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6960 | South Carolina |
Profile Details
| NPI number | 1427432046 |
|---|---|
| LBN Legal business name | Palmetto Center For Change, Llc |
| DBA Doing business as | |
| Authorized official | Anderson, Carol E. O. LISW-CP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 14th, 2015 |
| Last updated | Nov 25th, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427432046 | NPPES |
| South Carolina | Other | 616366600 | DOL |
| South Carolina | MEDICAID | SW1077 | DOL |
| South Carolina | MEDICAID | GP7051 | DOL |
| South Carolina | Other | 612752000 | DOL |
| South Carolina | Other | Q371020281 | DOL |
| South Carolina | Other | QMP000002409221 | DOL |
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