Organization · Type 2 NPI

Palmetto Family Service Center, LLC

Community/Behavioral Health Agency · Columbia, SC

NPI number 1871986158 Active

Practice location

2638 Two Notch Rd Ste 108
Columbia, SC 29204-1454

Fax (803) 779-5285

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

2 other providers at this address

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NPI record

NPI: 1871986158
Entity type: Organization (Type 2)
Issued: Mar 11, 2015
Last updated: Mar 11, 2015
Status: Active
Subpart: Yes of Palmetto Aids Life Support Services, Inc.

Other names

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Palss, Inc. · other name

Authorized official

Carmen Hampton Julious, LISW-CP&AP
CEO
(803) 779-7257

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1871986158

Palmetto Family Service Center, LLC's National Provider Identifier is 1871986158, issued on Mar 11, 2015. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Columbia, SC. The record was last updated on Mar 11, 2015.