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Contact Information

MIDLANDS PSYCHIATRIC SERVICE, LLC
125 ALPINE CIR
COLUMBIA, SC29223-6385
 Phone: 803-779-3548
 Fax: 803-779-7055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MIDLANDS PSYCHIATRIC SERVICE LLC · (Female)

NPI Number 1679782205
Status Active
Credentials
Entity Individual
Enumeration date 05/21/2007
Last updated 09/11/2025 - About 9 months 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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