# A TEAM HEALTHCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225375793
- **Authorized official:** MRS. URSHULA CANNON (OWNER)
- **Authorized official phone:** (803) 361-5249

## Contact information

- **Practice address:** 3935 SUNSET BLVD, STE. G., WEST COLUMBIA, SC 29169-2403
- **Practice address phone:** (803) 796-9612
- **Practice address fax:** (803) 796-9615
- **Mailing address:** PO BOX 50232, COLUMBIA, SC 29250-0232
- **Mailing address phone:** (803) 361-5249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 85573 | SC | Yes |
| 251C00000X | Developmentally Disabled Services Day Training Agency | 85573 | SC | — |
| 251S00000X | Community/Behavioral Health Agency | 85573 | SC | — |
| 253J00000X | Foster Care Agency | 85573 | SC | — |

## Other

- **Enumeration date:** 01/03/2013
- **Last updated:** 01/03/2013