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Organization

PALMETTO PSYCH SERVICES LLC

Active
Other names
Inpatient Psychology Solutions
Organization subpart
No

Provider details

NPI number
Authorized official
HETALBABU THAKORE (SOLE MEMBER)
(203) 901-2493
Entity
Organization

Contact information

Practice address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9104
(706) 831-4837
Mailing address
222 W ONTARIO ST STE 315, CHICAGO, IL 60654-3652

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103G00000X
Clinical Neuropsychologist
103T00000X
Psychologist
Primary
1041C0700X
Clinical Social Worker
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
11/09/2020
Last updated
02/21/2025
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