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Organization

JADE BLOOM PSYCHOEDUCATIONAL SERVICES LLC

Active
Other names
Jade Bloom Psychoed
Organization subpart
No

Provider details

NPI number
Authorized official
DAPHANE GRACE RIVERS SSP, NCSP, LPES (SCHOOL PSYCHOLOGIST/LPES)
(678) 492-6073
Entity
Organization

Contact information

Practice address
1 WINDSOR CV STE 105, COLUMBIA, SC 29223-1833
(803) 766-6766
Mailing address
388 LONGFELLOWS LN, ELGIN, SC 29045-7126
(803) 766-6766

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary

Other

Enumeration date
02/27/2026
Last updated
02/27/2026
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