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Contact Information

MEDITELECARE OF SOUTH CAROLINA LLC
508 MEETING ST
WEST COLUMBIA, SC29169-7535
 Phone: 860-788-6404
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Psychiatric/Mental Health

364SP0808X 89 Certified Clinical Nurse Specialist
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MEDITELECARE OF SOUTH CAROLINA LLC · (Female)

NPI Number 1073249157
Status Active
Credentials
Entity Individual
Enumeration date 07/29/2022
Last updated 07/29/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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