Organization
OMEGA PSYCHIATRIC SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM J GILMORE PMCNS, ANP (CO-OWNER)
(803) 497-9611
Entity
Organization
Contact information
Practice address
1735 SAINT JULIAN PL STE 102, COLUMBIA, SC 29204-2402
(803) 497-9611
(803) 353-3622
Mailing address
1735 SAINT JULIAN PL STE 102, COLUMBIA, SC 29204-2402
(803) 497-9611
(803) 764-2003
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184810665
NPI
—
01
—
1669404950
NPI
SC
01
—
1902891294
NPI
SC
Enumeration date
12/17/2018
Last updated
07/15/2020
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