Organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Active
Parent organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH
Other names
Patrick B Harris Psychiatric Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH CAROLINA DEPT OF MENTAL HEALTH
Authorized official
TRACY L TURNER (AUTHORIZED OFFICIAL)
(803) 898-4594
Entity
Organization
Contact information
Practice address
130 HIGHWAY 252, ANDERSON, SC 29621-5054
(803) 898-8405
(803) 898-8526
Mailing address
PO BOX 485, COLUMBIA, SC 29202-0485
(803) 898-8405
(803) 898-8526
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
461878
—
SC
05
—
GP2683
—
SC
Enumeration date
05/17/2006
Last updated
09/12/2024
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