Organization
PALMETTO COMMUNITY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA R BRANON LPC (OWNER)
(803) 636-7951
Entity
Organization
Contact information
Practice address
22 OFFICE PARK CT STE F, COLUMBIA, SC 29223-5965
(803) 636-7951
Mailing address
402 NAUTIQUE CIR, COLUMBIA, SC 29229-7334
(803) 546-0313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
4993
SC
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
09/12/2017
Last updated
02/21/2023
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