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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

NPI Number 1679782205
LBN Legal business name MIDLANDS PSYCHIATRIC SERVICE, LLC
Authorized official ELLIE MOZINGO - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/21/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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