Roots Psychological Associates, Llc

LBN: Roots Psychological Associates, Llc
Roots Psychological Associates, Llc is an health care organization with primary practice located at 1531 Laurel St , Columbia SC 29201-2622. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Roots Psychological Associates, Llc can be contacted via phone (803) 764-1010, or through Steele, Patrick James via phone (803) 764-1010.

Contact Information

Primary practice address
1531 Laurel St Columbia SC 29201-2622
Phone: (803) 764-1010
Fax: (803) 764-0193
Website:
Map and Directions
Authorized official contact:
Name: Steele, Patrick James PSY.D.
Phone: (803) 764-1010

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1412 South Carolina

Profile Details

NPI number 1609386838
LBN Legal business name Roots Psychological Associates, Llc
DBA Doing business as
Authorized official Steele, Patrick James PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2017
Last updated Jun 29th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609386838 NPPES
South Carolina MEDICAID 0327

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