Organization
PALMETTO THERAPIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERVIN BEASLEY LPC (OWNER)
(803) 318-7272
Entity
Organization
Contact information
Practice address
7436 FOREST CT STE 102, IRMO, SC 29063-2856
(803) 318-7272
(803) 318-7272
Mailing address
244 MIDWAY RD, LEXINGTON, SC 29072-9303
(803) 318-7272
(803) 708-7301
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/13/2019
Last updated
04/15/2025
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