Organization
COLACALM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH CAROL WILLITS LPC (OWNER/OPERATOR)
(803) 427-5120
Entity
Organization
Contact information
Practice address
1332 MAIN ST STE 203205, COLUMBIA, SC 29201-6201
(803) 427-5120
Mailing address
1332 MAIN ST STE 203205, COLUMBIA, SC 29201-6201
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740637107
—
SC
Enumeration date
04/23/2020
Last updated
04/23/2020
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